KELLI GREEN
NPI 1326459702
Counselor - Mental Health in New York, NY

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment
1369 BROADWAY, NEW YORK, NY 10018(212) 268-8830 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Green NPPES

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

KELLI GREEN (NPI 1326459702) is an individual mental health provider in New York, New York and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326459702
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI GREEN
Location Address1369 BROADWAYNew York, NY 10018-7200
Mailing Address1369 BroadwayNew York, NY 10018-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 19, 2014
NPI 1326459702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1369 BROADWAY, New York, NY 10018

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

Kelli 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 ID446777072
PECOS Enrollment IDI20250507002772
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.

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.

Social Worker
1369 BROADWAY
NEW YORK, NY 10018
Social Worker
1369 BROADWAY, 2ND FLOOR
NEW YORK, NY 10018
Social Worker (Clinical)
1369 BROADWAY, 2ND FLOOR
NEW YORK, NY 10018
Social Worker (Clinical)
1369 BROADWAY, 2ND FLOOR
NEW YORK, NY 10018
Community Health Worker
1369 BROADWAY
NEW YORK, NY 10018
Community/Behavioral Health
1369 BROADWAY, 2ND FLOOR
NEW YORK, NY 10018
Social Worker (Clinical)
1369 BROADWAY
MANHATTAN, NY 10018
Counselor (Mental Health)
1369 BROADWAY, 2ND FLOOR
NEW YORK, NY 10018

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 Kelli Green's NPI number?

The NPI number for Kelli Green is 1326459702. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Kelli Green located?

Kelli Green practices at 1369 Broadway, New York, NY 10018. The listed phone number is (212) 268-8830.

What is Kelli Green's specialty?

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

Is Kelli Green enrolled in Medicare?

Yes. Kelli 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.

When was this NPI record last updated?

The NPPES record for Kelli Green was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.