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MRS. KELLY ROBINSON GREEN MC, LPC, LISAC
NPI 1144514811
Counselor - Professional in Glendale, AZ

Active since May 30, 2011PECOS Enrolled
5701 W TALAVI BLVD STE 180, GLENDALE, AZ 85306(623) 687-2865(623) 486-2739 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kelly Robinson Green Mc, Lpc, Lisac NPPES

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

MRS. KELLY ROBINSON GREEN MC, LPC, LISAC (NPI 1144514811) is an individual professional provider in Glendale, Arizona, licensed in Arizona (LPC-11799) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144514811
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLY ROBINSON GREENCredential: MC, LPC, LISAC
Location Address5701 W TALAVI BLVD STE 180Glendale, AZ 85306-1888
Mailing Address4747 N 7th St Ste 100Phoenix, AZ 85014-3654 · (602) 279-7655 · Fax (602) 680-1260
Phone(623) 687-2865
Fax(623) 486-2739
Sole ProprietorNo
Enumeration DateMay 30, 2011
Last NPPES UpdateAugust 26, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1144514811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-11799
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LISAC-1345 (AZ)
5701 W TALAVI BLVD STE 180, Glendale, AZ 85306
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Robinson Green Mc, Lpc, Lisac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jewish Family & Children's Service
11 mi
Community/Behavioral Health
3001 N 33RD AVE
Phoenix, AZ 85017
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Jewish Family & Childrens Service
  • 136 clinicians in this Medicare group
NPI 1467520577 (602) 353-0703

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

WENDY LYNN BRISHKE LCSW
Social Worker (Clinical)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 687-2894
KJERSTIN JOHNSON
Social Worker (Clinical)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 344-7728
JEWISH FAMILY & CHILDREN'S SERVICE
Community/Behavioral Health
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
AMANDA GARCIA LCSW
Social Worker (Clinical)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
DR. HERENDIRA VALDEZ SHAHNAZ DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
LAURIE PFEIFFER LPC
Counselor (Professional)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
WENDY RICHARD MA, MSW, LCSW
Social Worker (Clinical)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202
RICHARD ALAN CROW MA, LPC, NCC
Counselor (Mental Health)
5701 W TALAVI BLVD STE 180
GLENDALE, AZ 85306
Maricopa County (623) 486-8202

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 Kelly Green's NPI number?

The NPI number for Kelly Green is 1144514811. It was assigned to this individual provider in the NPPES registry on May 30, 2011.

Where is Kelly Green located?

Kelly Green practices at 5701 W Talavi Blvd Ste 180, Glendale, AZ 85306. The listed phone number is (623) 687-2865.

What is Kelly Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Green enrolled in Medicare?

Yes. Kelly Green is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Green reassigns Medicare benefits to Jewish Family & Children's Service (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Green accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and Oscar Health Plan, Inc. list Kelly Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.