KELLI ANN GREENE MSW, LCSW
NPI 1912671967
Counselor - Mental Health in Lafayette, IN

Active since August 03, 2021Opted out of Medicare · through Apr 1, 2028
115 FARABEE DR N STE B-2, LAFAYETTE, IN 47905(765) 426-8230 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Ann Greene Msw, Lcsw NPPES

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

KELLI ANN GREENE MSW, LCSW (NPI 1912671967) is an individual mental health provider in Lafayette, Indiana, licensed in Indiana (99105360A) and active in the NPI registry since August 2021. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1912671967
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLI ANN GREENECredential: MSW, LCSW
Location Address115 FARABEE DR N STE B-2Lafayette, IN 47905-5913
Mailing Address115 Farabee Dr N Ste B-2Lafayette, IN 47905-5913 · (765) 426-8230
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedJuly 12, 2021
NPI 1912671967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 99105360A
115 FARABEE DR N STE B-2, Lafayette, IN 47905

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kelli Ann Greene Msw, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
115 FARABEE DR N STE B-2
LAFAYETTE, IN 47905

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 Kelli Greene's NPI number?

The NPI number for Kelli Greene is 1912671967. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Kelli Greene located?

Kelli Greene practices at 115 Farabee Dr N Ste B-2, Lafayette, IN 47905. The listed phone number is (765) 426-8230.

What is Kelli Greene's specialty?

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

Is Kelli Greene enrolled in Medicare?

No. Kelli Greene has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelli Greene accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Kelli Greene 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 Kelli Greene was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.