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KEISA GREEN LPC
NPI 1740789957
Counselor - Professional in Spartanburg, SC

Active since February 03, 2018PECOS Enrolled
460 LANGDON ST, SPARTANBURG, SC 29302(864) 504-3628(864) 594-0040 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keisa Green Lpc NPPES

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

KEISA GREEN LPC (NPI 1740789957) is an individual professional provider in Spartanburg, South Carolina, licensed in South Carolina (7419) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740789957
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKEISA GREENCredential: LPC
Location Address460 LANGDON STSpartanburg, SC 29302-1614
Mailing AddressPo Box 5158Spartanburg, SC 29304-5158 · (864) 398-2380
Phone(864) 504-3628
Fax(864) 594-0040
Sole ProprietorYes
Enumeration DateFebruary 3, 2018
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1740789957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SC · 7419
460 LANGDON ST, Spartanburg, SC 29302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisa Green Lpc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Keisa Green reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regenesis Organization Community Health Center
Same address
Federally Qualified Health Center (FQHC)
460 LANGDON ST.
Spartanburg, SC 29302
NPI 1457745952 (864) 582-2817
Grow Healthcare Group PA
641 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

JACQUELYN WALKER
Counselor (Professional)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 549-0222
TAMPATHA L TANNER MSW
Social Worker
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 504-3628
KARINA AMERICA
Counselor (Professional)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 504-3628
MARIA LIAN KING LISW-CP
Social Worker (Clinical)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 504-3628
JULIA S MOORE LPC
Counselor (Professional)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411
MRS. DONNA FOSSETT KNIGHT APRN
Nurse Practitioner (Family)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411
TONISHA DE'SHAUN LEE LISW-CP
Social Worker (Clinical)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411
AMBER N SCHRENKEL LISW-CP
Social Worker (Clinical)
460 LANGDON ST
SPARTANBURG, SC 29302
Spartanburg County (864) 582-2411

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 Keisa Green's NPI number?

The NPI number for Keisa Green is 1740789957. It was assigned to this individual provider in the NPPES registry on February 3, 2018.

Where is Keisa Green located?

Keisa Green practices at 460 Langdon St, Spartanburg, SC 29302. The listed phone number is (864) 504-3628.

What is Keisa Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Keisa Green enrolled in Medicare?

Yes. Keisa Green is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keisa Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keisa Green reassigns Medicare benefits to 2 organizations: Regenesis Organization Community Health Center (Spartanburg, SC) 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 Keisa Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keisa Green accept?

Health plans from First Choice Next and UnitedHealthcare list Keisa 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 Keisa Green was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.