CARRIE GREEN
NPI 1417785346
Counselor - Mental Health in Atlanta, GA
About Carrie Green NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE GREEN (NPI 1417785346) is an individual mental health provider in Atlanta, Georgia, licensed in Georgia (CSW009095) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrie Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carrie Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mobile, AL 36609
- Reassigned Medicare billing, Alabama enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carrie Green's NPI number?
The NPI number for Carrie Green is 1417785346. It was assigned to this individual provider in the NPPES registry on July 23, 2024.
Where is Carrie Green located?
Carrie Green practices at 2260 Fairburn Road SW #311672, Atlanta, GA 30331. The listed phone number is (470) 795-0245.
What is Carrie Green's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Carrie Green enrolled in Medicare?
Yes. Carrie Green is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carrie Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Green reassigns Medicare benefits to Optum Behavioral Care Of Virginia, Inc. (Mobile, AL). 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 Carrie Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carrie Green accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Carrie 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 Carrie Green was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Carrie Green · NPI 1417785346
Mental Health provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 23, 2024.
## Identity
- **NPI:** 1417785346 (Entity type: Individual)
- **Enumerated:** July 23, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CSW009095 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2260 FAIRBURN ROAD SW #311672, Atlanta, GA 30331-9998
- **Phone:** (470) 795-0245
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Optum Behavioral Care Of Virginia, Inc. (NPI 1669365086, Mobile, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417785346) · Data from the CMS NPPES public registry.