CARRIE GREEN
NPI 1417785346
Counselor - Mental Health in Atlanta, GA

Active since July 23, 2024PECOS Enrolled
2260 FAIRBURN ROAD SW #311672, ATLANTA, GA 30331(470) 795-0245 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2024, Jul 23, 2024 (2 updates tracked since 2024).

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.

NPPES Registry Identity

NPI1417785346
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARRIE GREEN
Location Address2260 FAIRBURN ROAD SW #311672Atlanta, GA 30331-9998
Mailing Address2260 Fairburn Road Sw #311672Atlanta, GA 30331-9998
Sole ProprietorYes
Enumeration DateJuly 23, 2024
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1417785346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in GA · CSW009095 Licensed in KS · 06610 Licensed in AL · 5915C

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carrie Green 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

The NPI number assigned to this healthcare provider is 1417785346, enumerated as an "individual" on July 23, 2024.

The provider is located at 2260 FAIRBURN ROAD SW #311672 ATLANTA, GA 30331 and the phone number is (470) 795-0245.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.