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Deactivated NPI 1548967136 Deactivated / Inactive NPI Female Practitioner

Robin G Green , LPC

Counselor • Belleville, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robin Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2023
NPI Deactivation Date June 19, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Robin Green, LPC was a registered Counselor practicing in Belleville, IL. Throughout an active medical career spanning 1 years, Robin Green provided care at the practice location at 12 N 64TH ST until profile deactivation on 2024-06-19.

Practice Location & Contact Primary Location

Practice Address

12 N 64th St

Belleville, IL 622233809

Telephone 6188774420
Associated Practice Facility / Clinic
🏢 Chestnut Health Systems, Inc. Facility NPI 1760602593

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Belleville, IL (3897 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License IL 178018465

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Charles Massie , LPC, LCPC

Counselor - Professional

NPI 1013369628

Licensed Professional Counselor, Licensed Clinical Professional Counselor

Kierstin Hancock , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053063776

Psychiatric-Mental Health Nurse Practitioner

Kristle Kapp , MA

Counselor - Mental Health

NPI 1053761783

Master of Arts

NPI 1093328841

Licensed Professional Counselor

Dennis Fox , LCPC

Counselor - Addiction (Substance Use Disorder)

NPI 1104032796

Licensed Clinical Professional Counselor

Stacy Dierks , BA, CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1104185107

Bachelor of Arts, Certified Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
⚠️
NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2023

Counselor (License #178.018465 in IL)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2023

Counselor (License #178.018465 in None)

NPI Profile Active February 14, 2023

NPI status registered as active in NPPES database

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Updated Practice Location February 14, 2023

Registered at 12 N 64TH ST, BELLEVILLE, IL 622233809 (Tel: 6188774420)

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Updated Business Mailing Address February 14, 2023

Registered at 448 WYLIE DR, NORMAL, IL 617615405 (Tel: 8889243786)

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Provider Name / Credentials Updated February 14, 2023

Recorded as ROBIN GREEN, LPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2023

Counselor (License #178018465 in IL)

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Initial NPI Registration & Enumeration February 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548967136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2023
Last Update: February 14, 2023
Deactivation Date: June 19, 2024

Mailing Address

448 Wylie Dr

Normal, IL 617615405

Phone: 8889243786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.