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

Peter Green, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1992347694

Peter Green, LADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

3400 E Lake St
Minneapolis, MN 55406-2150
Phone: (651) 274-0986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1992347694
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address3400 E Lake St Ste 101, Minneapolis, MN 55406-2150

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