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KELLYE F GREEN
NPI 1871104810
Peer Specialist in Altus, OK

Active since August 13, 2020
111 N HUDSON ST, ALTUS, OK 73521(580) 379-4085 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellye F Green NPPES

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

KELLYE F GREEN (NPI 1871104810) is an individual peer specialist in Altus, Oklahoma and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1871104810
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLYE F GREEN
Location Address111 N HUDSON STAltus, OK 73521-3811
Mailing Address4400 N Lincoln BlvdOklahoma City, OK 73105-5104 · (580) 379-4085
Phone(580) 379-4085
Sole ProprietorNo
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1871104810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
111 N HUDSON ST, Altus, OK 73521
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Other Names 1

Former Name (1)Kellye F Ferguson

Other Providers at the Same Location NPPES 13

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

MRS. SARAH A BIDDY
Counselor (Mental Health)
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 379-4085
DANA RAE WINTERS
Counselor (Mental Health)
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 379-4085
HEATHER HILL B.B.A.
Case Manager/Care Coordinator
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 379-4085
KATRINA L ELLIS LPC
Counselor (Professional)
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 379-4085
ASHONTAY OWENS
Student in an Organized Health Care Education/Training Program
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 303-9541
KOLTON SANDERS
Counselor (Mental Health)
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 726-2452
JERA DILTZ
Counselor (Mental Health)
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 379-4085
MRS. SONYA MICHELLE MCAULIFFE L.P.C., L.A.D.C.
Counselor (Mental Health)
111 N HUDSON ST
ALTUS, OK 73521
Jackson County (580) 318-6446

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 Kellye Green's NPI number?

The NPI number for Kellye Green is 1871104810. It was assigned to this individual provider in the NPPES registry on August 13, 2020. The provider is also known as Kellye F Ferguson.

Where is Kellye Green located?

Kellye Green practices at 111 N Hudson St, Altus, OK 73521. The listed phone number is (580) 379-4085.

What is Kellye Green's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kellye Green was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.