MATTHEW GREEN
NPI 1225573884
Counselor - Mental Health in Olean, NY

Active since January 05, 2017PECOS EnrolledAccepts Medicare Assignment
1 LEO MOSS DR, SUITE 4308, OLEAN, NY 14760(716) 373-8040(716) 701-3728 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew Green NPPES

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

MATTHEW GREEN (NPI 1225573884) is an individual mental health provider in Olean, New York and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225573884
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW GREEN
Location Address1 LEO MOSS DR, SUITE 4308Olean, NY 14760-1156
Mailing Address1 Leo Moss Dr, Suite 4308Olean, NY 14760-1156 · (716) 373-8040 · Fax (716) 701-3728
Fax(716) 701-3728
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 5, 2017
✔ NPI 1225573884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1 LEO MOSS DR, Olean, NY 14760

Other Identifiers 1

Medicaid00635098NY

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

Matthew Green 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 ID4183147952
PECOS Enrollment IDI20250402001713
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 Matthew Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 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.

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.

Counselor
1 LEO MOSS DR, SUITE 4308
OLEAN, NY 14760
Counselor
1 LEO MOSS DR
OLEAN, NY 14760
Counselor (Mental Health)
1 LEO MOSS DR
OLEAN, NY 14760
Public Health or Welfare
1 LEO MOSS DR, SUITE 4010
OLEAN, NY 14760
Social Worker
1 LEO MOSS DR
OLEAN, NY 14760
Registered Nurse
1 LEO MOSS DR
OLEAN, NY 14760
Psychiatry & Neurology (Psychiatry)
1 LEO MOSS DR, SUITE 4308
OLEAN, NY 14760
Early Intervention Provider Agency
1 LEO MOSS DR
OLEAN, NY 14760

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 Matthew Green's NPI number?

The NPI number for Matthew Green is 1225573884. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Where is Matthew Green located?

Matthew Green practices at 1 Leo Moss Dr Suite 4308, Olean, NY 14760. The listed phone number is (716) 373-8040.

What is Matthew Green's specialty?

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

Is Matthew Green enrolled in Medicare?

Yes. Matthew 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 Matthew Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Green reassigns Medicare benefits to Mccd Psychiatry Services PLLC (New York, NY). 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 Matthew Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Green was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.