KIMBERLY D. GREEN M.ED, LMFT
NPI 1275514077
Marriage & Family Therapist in Winston Salem, NC

Q: What is Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1275514077. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Kim D. Green M.Ed, Lmft.

Q: What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on July 7, 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.

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment

667 SPRING DRIVE EXT, WINSTON SALEM, NC 27107(253) 225-5418(877) 410-5513 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2022, Apr 10, 2017 (2 updates tracked since 2017).

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About Kimberly D. Green M.ed, Lmft NPPES

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

KIMBERLY D. GREEN M.ED, LMFT (NPI 1275514077) is an individual marriage & family therapist in Winston Salem, North Carolina, licensed in Washington (LF00002194) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275514077

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKIMBERLY D. GREENCredential: M.ED, LMFT

Location Address667 SPRING DRIVE EXTWinston Salem, NC 27107-9788

Mailing Address667 Spring Drive ExtWinston Salem, NC 27107-9788 · (253) 225-5418 · Fax (877) 410-5513

Phone(253) 225-5418

Fax(877) 410-5513

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 9, 2005

Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1275514077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in WA · LF00002194

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

667 SPRING DRIVE EXT, Winston Salem, NC 27107

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Other Names 1

Other Name (5)Kim D. Green M.ed, Lmft

Other Identifiers 1

Medicaid1091299WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, 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 and accepts Medicare assignment

Kimberly D. Green M.ed, Lmft 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 ID8022590140

PECOS Enrollment IDI20260306001177

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 Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1275514077. It was assigned to this individual provider in the NPPES registry on November 9, 2005. The provider is also known as Kim D. Green M.Ed, Lmft.

Where is Kimberly Green located?

Kimberly Green practices at 667 Spring Drive Ext, Winston Salem, NC 27107. The listed phone number is (253) 225-5418.

What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kimberly Green enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Green accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Kimberly 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 Kimberly Green was last updated on July 7, 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.