MS. KHALEELAH GREEN M.A.
NPI 1669496998
Counselor - Mental Health in Saint Louis, MO
About Ms. Khaleelah Green M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KHALEELAH GREEN M.A. (NPI 1669496998) is an individual mental health provider in Saint Louis, Missouri and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
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)
Ms. Khaleelah Green M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Khaleelah Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denver, CO 80202
- Reassigned Medicare billing, Arizona, Georgia and Missouri enrollments
- 191 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Georgia and Missouri enrollments
- 994 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.
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.
SAINT LOUIS, MO 63103
SAINT LOUIS, MO 63103
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 Khaleelah Green's NPI number?
The NPI number for Khaleelah Green is 1669496998. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Khaleelah Green located?
Khaleelah Green practices at 1430 Olive St Suite 400, Saint Louis, MO 63103. The listed phone number is (314) 206-3700.
What is Khaleelah Green's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Khaleelah Green enrolled in Medicare?
Yes. Khaleelah Green is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Khaleelah Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khaleelah Green reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Grow Healthcare Group PA (Miami, FL). 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 Khaleelah Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Khaleelah Green accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Medica and 1 other insurer list Khaleelah 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 Khaleelah Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Khaleelah Green, M.A. · NPI 1669496998
Mental Health provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1669496998 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1430 OLIVE ST, SUITE 400, Saint Louis, MO 63103-2303
- **Phone:** (314) 206-3700 · **Fax:** (314) 206-3708
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sondermind Provider Network LLC (NPI 1760854442, Denver, CO); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1669496998) · Data from the CMS NPPES public registry.