KATHERINE ANN GREEN LMHC
NPI 1962863340
Counselor - Mental Health in Jacksonville, FL

Active since March 14, 2016Opted out of Medicare · through Apr 1, 2028
3733 UNIVERSITY BLVD W STE 203, JACKSONVILLE, FL 32217(904) 536-8589 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Jan 5, 2022, Mar 14, 2016 (3 updates tracked since 2016).

About Katherine Ann Green Lmhc NPPES

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

KATHERINE ANN GREEN LMHC (NPI 1962863340) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH9789) and active in the NPI registry since March 2016. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1962863340
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE ANN GREENCredential: LMHC
Location Address3733 UNIVERSITY BLVD W STE 203Jacksonville, FL 32217-2152
Mailing Address3700 Kirkpatrick Cir Unit 11Jacksonville, FL 32210-0214 · Fax (352) 244-2741
Sole ProprietorNo
Enumeration DateMarch 14, 2016
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1962863340 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 FL · MH9789
3733 UNIVERSITY BLVD W STE 203, Jacksonville, FL 32217

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

Katherine Ann Green Lmhc 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

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 Katherine Green's NPI number?

The NPI number for Katherine Green is 1962863340. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Where is Katherine Green located?

Katherine Green practices at 3733 University Blvd W Ste 203, Jacksonville, FL 32217. The listed phone number is (904) 536-8589.

What is Katherine Green's specialty?

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

Is Katherine Green enrolled in Medicare?

No. Katherine Green 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 Katherine Green accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Katherine 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 Katherine Green was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.