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KIMBERLY GREEN
NPI 1053778506
Counselor in Dekalb, IL

Active since January 27, 2016
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY GREEN (NPI 1053778506) is an individual counselor in Dekalb, Illinois and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1053778506
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY GREEN
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing Address12 Health Services DrDekalb, IL 60115-9637
Phone(815) 756-4875
Sole ProprietorYes
Enumeration DateJanuary 27, 2016
✔ NPI 1053778506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
12 HEALTH SERVICES DR, Dekalb, IL 60115
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER L WEBER LSW, CADC
Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CHRISTI JOHNSON B.S., M.H.P.
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CHRISTINE ALEXANDRA ESPE MAXWELL MSED, LCPC, NCC
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
TATJANA N WILLIAMS LSW
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
JASMINE YOUNG
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CASSIE DODD
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
REBECCA LEACH
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
VALERIE PENA-HERNANDEZ
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1053778506. It was assigned to this individual provider in the NPPES registry on January 27, 2016.

Where is Kimberly Green located?

Kimberly Green practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.