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KARI MARIE GREEN
NPI 1225591977
Counselor - Addiction (Substance Use Disorder) in Waukegan, IL

Active since April 10, 2019PECOS Enrolled
3004 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8201 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kari Marie Green NPPES

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

KARI MARIE GREEN (NPI 1225591977) is an individual addiction (substance use disorder) provider in Waukegan, Illinois and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225591977
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKARI MARIE GREEN
Location Address3004 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3004 Grand AveWaukegan, IL 60085-2321 · (847) 377-8201
Phone(847) 377-8201
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 10, 2019
✔ NPI 1225591977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3004 GRAND AVE, Waukegan, IL 60085
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kari Marie Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870077241
PECOS Enrollment IDI20260324002417
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 Kari Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind PC
1,826 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, Illinois enrollment
  • 106 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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.

NORMAN G GOLLIDAY CADC
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
MS. BELINDA PEREZ BA CADC ATE
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8199
SYLVIA SIMS BOLTON
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8197
ERIKA N HETLAND LSW
Social Worker
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8201
CECILIA ANN CARDONA LPN
Licensed Practical Nurse
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
STEPHANIE MAGEN VALENTIN BA
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
GREGORY FIELDS
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120
MR. CHRISTOPHER BUTLER SR.
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8120

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 Kari Green's NPI number?

The NPI number for Kari Green is 1225591977. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Kari Green located?

Kari Green practices at 3004 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8201.

What is Kari Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kari Green enrolled in Medicare?

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

Which organization bills Medicare for Kari Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kari Green reassigns Medicare benefits to Sondermind PC (San Jose, CA). 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 Kari Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kari Green accept?

Health plans from UnitedHealthcare list Kari 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 Kari Green was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.