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

Mindy Green

Individual provider Mental Health Counselor · NPI 1679195556

Mindy Green is a Mental Health Counselor in Davie, Florida. Qualified in 2012, 14 years ago. Practices with Grow Healthcare Group PA, a 1,020-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2020

Practice location Address checks out

4611 S University Dr # 459
Davie, FL 33328-3817
Phone: (954) 228-5426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH13309 (FL)

Record details

NPI number1679195556
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 13, 2020
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address4611 S University Dr # 459, Davie, FL 33328-3817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Grow Healthcare Group Pa — 1020 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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