KERRY M GREEN LCPC NPI 1073161717

NPI Information

NPI: 1073161717
Provider Name: KERRY M GREEN, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 661-9200
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Kerry M Green, LCPC is a mental health counselor in Coeur D Alene, ID. Kerry M Green, LCPC NPI is 1073161717. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

250 NORTHWEST BLVD STE 101A
COEUR D ALENE, ID
ZIP 83814-971
Phone: (208) 661-9200

The NPI 1073161717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/27/2019 and was last updated on 12/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCPC-7253	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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