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KATELYN ELIZABETH GREEN
NPI 1063200863
Counselor - Mental Health in Jerseyville, IL

Active since April 30, 2025
1101 N STATE ST, JERSEYVILLE, IL 62052(618) 498-0190 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn Elizabeth Green NPPES

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

KATELYN ELIZABETH GREEN (NPI 1063200863) is an individual mental health provider in Jerseyville, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063200863
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYN ELIZABETH GREEN
Location Address1101 N STATE STJerseyville, IL 62052
Mailing Address21002 Richey Hollow RdJerseyville, IL 62052-6611 · (618) 946-1456
Phone(618) 498-0190
Sole ProprietorNo
Enumeration DateApril 30, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1063200863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1101 N STATE ST, Jerseyville, IL 62052
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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 Katelyn Green's NPI number?

The NPI number for Katelyn Green is 1063200863. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Katelyn Green located?

Katelyn Green practices at 1101 N State St, Jerseyville, IL 62052. The listed phone number is (618) 498-0190.

What is Katelyn Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Katelyn Green was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.