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KIMBERLY NICOLE GREEN-RUSSELL LMFT
NPI 1407129687
Marriage & Family Therapist in Los Angeles, CA

Active since February 17, 2012PECOS Enrolled
510 S. VERMONT AVENUE, LOS ANGELES, CA 90020(213) 842-0333 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2021, Apr 27, 2021 (2 updates tracked since 2021).

About Kimberly Nicole Green-russell Lmft NPPES

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

KIMBERLY NICOLE GREEN-RUSSELL LMFT (NPI 1407129687) is an individual marriage & family therapist in Los Angeles, California, licensed in California (80853) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407129687
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIMBERLY NICOLE GREEN-RUSSELLCredential: LMFT
Location Address510 S. VERMONT AVENUELos Angeles, CA 90020-1912
Mailing AddressPo Box 88591Los Angeles, CA 90009-8591 · (323) 513-3428
Phone(213) 842-0333
Sole ProprietorYes
Enumeration DateFebruary 17, 2012
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1407129687 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 CA · 80853
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.
510 S. VERMONT AVENUE, Los Angeles, CA 90020
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Other Names 1

Former Name (1)Kimberly Nicole Green Lmft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Nicole Green-russell Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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-russell's NPI number?

The NPI number for Kimberly Green-russell is 1407129687. It was assigned to this individual provider in the NPPES registry on February 17, 2012. The provider is also known as Kimberly Nicole Green Lmft.

Where is Kimberly Green-russell located?

Kimberly Green-russell practices at 510 S. Vermont Avenue, Los Angeles, CA 90020. The listed phone number is (213) 842-0333.

What is Kimberly Green-russell's specialty?

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

Is Kimberly Green-russell enrolled in Medicare?

Yes. Kimberly Green-russell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Green-russell was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.