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KATIE LYNN GREEN LMSW
NPI 1306509013
Social Worker - Clinical in Ada, MI

Active since October 19, 2021PECOS EnrolledAccepts Medicare Assignment
7128 FULTON ST E, ADA, MI 49301(616) 825-3530 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2022, Oct 19, 2021 (2 updates tracked since 2021).

About Katie Lynn Green Lmsw NPPES

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

KATIE LYNN GREEN LMSW (NPI 1306509013) is an individual clinical provider in Ada, Michigan, licensed in Michigan (6801112387) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306509013
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE LYNN GREENCredential: LMSW
Location Address7128 FULTON ST EAda, MI 49301-8413
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 825-3530
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 19, 2021
Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
✔ NPI 1306509013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801112387
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
7128 FULTON ST E, Ada, MI 49301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Katie Lynn Green Lmsw 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 ID5193113595
PECOS Enrollment IDI20211103001748
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 Reassignments

2

Medicare enrollment records show Katie Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
4.0 mi
Radiology
4100 LAKE DR SE, SUITE 102
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1528374683 (616) 974-4800
Counseling Center Of West Michigan, LLC
5.0 mi
Mental Health
360 E BELTLINE AVE NE STE 100
Grand Rapids, MI 49506
  • Reassigned Medicare billing, Michigan enrollment
  • 287 clinicians in this Medicare group
NPI 1437610730 (616) 805-3660

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON WILLIAM MELUCCI PA-C
Physician Assistant
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
ROBERT CHARLES MACKINDER MD
Internal Medicine
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
AMY RENAE BELL NP
Nurse Practitioner
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
ANN ELIZABETH TARR LMSW
Social Worker (Clinical)
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
DR. ASHLEY BARCROFT
Pediatrics
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
JUNWEN LAW MD
Family Medicine
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
LAUREN PHILLIPS MICHELLI MD
Family Medicine
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530
AMANDA LEE KELLY PA
Physician Assistant
7128 FULTON ST E
ADA, MI 49301
Kent County (616) 825-3530

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 Katie Green's NPI number?

The NPI number for Katie Green is 1306509013. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Katie Green located?

Katie Green practices at 7128 Fulton St E, Ada, MI 49301. The listed phone number is (616) 825-3530.

What is Katie Green's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katie Green enrolled in Medicare?

Yes. Katie 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 organizations bill Medicare for Katie Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Green reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Counseling Center Of West Michigan, LLC (Grand Rapids, MI). Each 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 Katie Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Green accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Katie 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 Katie Green was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.