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

Ralph Garrison Green

Individual provider Mental Health Counselor · NPI 1275253528

Ralph Garrison Green is a Mental Health Counselor in Wilmington, North Carolina. Qualified in 2018, 8 years ago. Practices with Pride in North Carolina LLC, a 34-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

5710 Oleander Dr Ste 112
Wilmington, NC 28403-4722
Phone: (910) 769-1785
Fax: (910) 769-3965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 14774 (NC)

Record details

NPI number1275253528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESDecember 16, 2024
Certification dateDecember 16, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pride In North Carolina Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wilmington