Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregory Malcom Green Sr., LPC

Individual provider Mental Health Counselor · NPI 1861147902

Gregory Malcom Green Sr., LPC is a Mental Health Counselor in Bloomfield, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2022
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

701 Cottage Grove Rd
Bloomfield, CT 06002-3080
Phone: (860) 209-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 141 Fieldstone Drive, Windsor, CT 06095 — (857) 636-0470

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5313 (CT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 005313 (CT)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1861147902
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 17, 2022
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023
Mailing address141 Fieldstone Dr, Windsor, CT 06095-1663

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