KIMBERLY GREEN M. ED.
NPI 1750822607
Counselor in Washington, DC

Active since March 12, 2017PECOS Enrolled
238 NICHOLSON ST NE, WASHINGTON, DC 20011(404) 502-3258 Get Directions Write a Review

NPPES record last updated: March 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Green M. Ed. NPPES

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

KIMBERLY GREEN M. ED. (NPI 1750822607) is an individual counselor in Washington, District Of Columbia, licensed in District Of Columbia (LGPCC00170) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750822607
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMBERLY GREENCredential: M. ED.
Location Address238 NICHOLSON ST NEWashington, DC 20011-2510
Mailing Address238 Nicholson St NeWashington, DC 20011-2510 · (404) 502-3258
Sole ProprietorYes
Enumeration DateMarch 12, 2017
NPI 1750822607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in DC · LGPCC00170
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
238 NICHOLSON ST NE, Washington, DC 20011

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Green M. Ed. 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Green's NPI number?

The NPI number for Kimberly Green is 1750822607. It was assigned to this individual provider in the NPPES registry on March 12, 2017.

Where is Kimberly Green located?

Kimberly Green practices at 238 Nicholson St NE, Washington, DC 20011. The listed phone number is (404) 502-3258.

What is Kimberly Green's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Kimberly Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Green was last updated on March 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.