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

Active since October 29, 2015PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mckenzie Green Lpc-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42780520
PECOS Enrollment IDI20260526002306
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 Mckenzie Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
2501 N GLEBE RD, SUITE 303
Arlington, VA 22207
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 267 clinicians in this Medicare group

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mckenzie Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Green reassigns Medicare benefits to Columbia Associates In Psychiatry PC (Arlington, VA). 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 Mckenzie Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckenzie Green accept?

Health plans from Oscar Health 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 2 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.