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

Mrs. Cynthia M Green, LCPC

Individual provider Professional Counselor · NPI 1831395524

Mrs. Cynthia M Green, LCPC is a Mental Health Counselor in Moline, Illinois. Qualified in 1999, 27 years ago. Practices with Southpark Psychology Ltd, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2007
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

2100 52nd Ave
Moline, IL 61265-6366
Phone: (309) 797-2900
Fax: (309) 797-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180-006493 (IL)

Record details

NPI number1831395524
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJune 21, 2007
Last updated in NPPESJanuary 23, 2013

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Southpark Psychology Ltd — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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