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MS. KELLY GREEN CDCA
NPI 1689562365
Counselor - Mental Health in Dayton, OH

Active since June 24, 2025
3559 STANFORD PL, DAYTON, OH 45406(937) 723-8475 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelly Green Cdca NPPES

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

MS. KELLY GREEN CDCA (NPI 1689562365) is an individual mental health provider in Dayton, Ohio and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1689562365
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KELLY GREENCredential: CDCA
Location Address3559 STANFORD PLDayton, OH 45406-3641
Mailing Address1200 N Broadway StDayton, OH 45402-6112
Phone(937) 723-8475
Sole ProprietorYes
Enumeration DateJune 24, 2025
NPPES CertifiedJune 24, 2025
✔ NPI 1689562365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3559 STANFORD PL, Dayton, OH 45406
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIMONE WOOD
Counselor (Professional)
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (380) 263-5024
MS. KENDRA MARTIN
Counselor (Mental Health)
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (937) 723-8475
A LOVING HEART YOUTH SERVICES INC
Case Management
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (937) 723-6893
BREONNA FROST
Counselor (Professional)
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (937) 723-8475
MR. CHRIS A WILLIAMS CDCA
Counselor (Addiction (Substance Use Disorder))
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (937) 204-8024
A LOVING HEART YOUTH SERVICES INC
Community/Behavioral Health
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (937) 723-6893
JULIUS HURST
Counselor (Mental Health)
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (937) 723-8475
WILLIAM PETERSON II
Case Manager/Care Coordinator
3559 STANFORD PL
DAYTON, OH 45406
Montgomery County (377) 238-4759

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 Kelly Green's NPI number?

The NPI number for Kelly Green is 1689562365. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Kelly Green located?

Kelly Green practices at 3559 Stanford Pl, Dayton, OH 45406. The listed phone number is (937) 723-8475.

What is Kelly Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Green was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.