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DR. MCKENZIE GREEN LPC-S
NPI 1184096117
Counselor - Professional in Washington, DC

Active since October 29, 2015PECOS Enrolled
5820 DIX ST. NE, BLDG 1 STE 125, WASHINGTON, DC 20019(240) 736-5230 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Sep 4, 2024, Dec 5, 2023 and 1 more (4 updates tracked since 2022).

About Dr. Mckenzie Green Lpc-s NPPES

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

DR. MCKENZIE GREEN LPC-S (NPI 1184096117) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (PRC15115) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1184096117
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MCKENZIE GREENCredential: LPC-S
Location Address5820 DIX ST. NE, BLDG 1 STE 125Washington, DC 20019-2001
Mailing Address2701 Neabsco Common Pl Apt 211Woodbridge, VA 22191-6701 · (843) 855-1526
Phone(240) 736-5230
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 29, 2015
Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1184096117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in DC · PRC15115✔ Licensed in NC · A9048
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License PRC15115 (DC)
5820 DIX ST. NE, Washington, DC 20019
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mckenzie Green Lpc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42780520
PECOS Enrollment IDI20260527001085
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.

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 Mckenzie Green's NPI number?

The NPI number for Mckenzie Green is 1184096117. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Mckenzie Green located?

Mckenzie Green practices at 5820 Dix St. NE Bldg 1 Ste 125, Washington, DC 20019. The listed phone number is (240) 736-5230.

What is Mckenzie Green's specialty?

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

Is Mckenzie Green enrolled in Medicare?

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

What insurance does Mckenzie Green accept?

Health plans from Providence Health Plan list Mckenzie 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 Mckenzie Green was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.