LAURA GREEN
NPI 1730412743
Counselor - Professional in Grayson, KY

Active since September 09, 2009PECOS EnrolledAccepts Medicare Assignment
840 INTERSTATE DR, GRAYSON, KY 41143(866) 233-1955(606) 473-7335 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 28, 2025, Oct 18, 2021, Jun 22, 2020 (3 updates tracked since 2020).

About Laura Green NPPES

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

LAURA GREEN (NPI 1730412743) is an individual professional provider in Grayson, Kentucky, licensed in Kentucky (272556) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730412743
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLAURA GREEN
Location Address840 INTERSTATE DRGrayson, KY 41143-1768
Mailing AddressPo Box 790Ashland, KY 41105-0790 · (606) 329-8588 · Fax (606) 329-8195
Fax(606) 473-7335
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 9, 2009
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1730412743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 272556
Also ListedCounselorTaxonomy 101Y00000X · License 247159 (KY)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 245089 (KY)
840 INTERSTATE DR, Grayson, KY 41143

Other Identifiers 1

Medicaid30610026KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Laura Green is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961846282
PECOS Enrollment IDI20240214003663
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.

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.

Psychologist
840 INTERSTATE DR
GRAYSON, KY 41143
Counselor
840 INTERSTATE DR
GRAYSON, KY 41143
Counselor
840 INTERSTATE DR
GRAYSON, KY 41143
Social Worker
840 INTERSTATE DR
GRAYSON, KY 41143
Counselor (Professional)
840 INTERSTATE DR
GRAYSON, KY 41143
Counselor
840 INTERSTATE DR
GRAYSON, KY 41143
Psychologist
840 INTERSTATE DR
GRAYSON, KY 41143
Registered Nurse (Addiction (Substance Use Disorder))
840 INTERSTATE DR
GRAYSON, KY 41143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730412743, enumerated as an "individual" on September 09, 2009.

The provider is located at 840 INTERSTATE DR GRAYSON, KY 41143 and the phone number is (866) 233-1955.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

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