Mrs Kelly Robinson Green, MC, LPC, LISAC in Glendale, AZ

Mrs Kelly Robinson Green, MC, LPC, LISAC is a medicare enrolled "Counselor - Professional" provider in Glendale, Arizona. Her current practice location is 5701 W Talavi Blvd Ste 180, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 687-2865.

Mrs Kelly Robinson Green is licensed to practice in Arizona (license number LPC-11799) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144514811.

Contact Information

	Mrs Kelly Robinson Green, MC, LPC, LISAC
	5701 W Talavi Blvd Ste 180, Glendale, AZ 85306-1888
	(623) 687-2865
	(623) 486-2739

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Robinson Green
Gender	Female
Speciality	Counselor - Professional
Location	5701 W Talavi Blvd Ste 180, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144514811
Provider Enumeration Date: 05/30/2011
Last Update Date: 08/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9638522345
Enrollment ID: I20240130001106

Medical Identifiers

Medical identifiers for Mrs Kelly Robinson Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144514811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LISAC-1345 (Arizona)	Secondary
101YP2500X	Counselor - Professional	LPC-11799 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Robinson Green allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family & Childrens Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Robinson Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kelly Robinson Green, MC, LPC, LISAC 4747 N 7th St Ste 100, Phoenix, AZ 85014-3654 Ph: (602) 279-7655	Mrs Kelly Robinson Green, MC, LPC, LISAC 5701 W Talavi Blvd Ste 180, Glendale, AZ 85306-1888 Ph: (623) 687-2865

Reviews and Comments

Counselor in Glendale, AZ

Laura Elma Huber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave, Ste. 311c, Glendale, AZ 85308 Phone: 623-692-4311
Nicole Ann Ujvari, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5625 W Bell Rd, Glendale, AZ 85308 Phone: 480-653-0167
Elizabeth Molina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5210 N 62nd Ave, Glendale, AZ 85301 Phone: 623-223-3080
Katherine Marie Hanlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17235 N 75th Ave Ste F100, Glendale, AZ 85308 Phone: 480-641-1165
Amanda Wild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18001 N 79th Ave Ste B20, Glendale, AZ 85308 Phone: 480-979-6200
Emily Train, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 17505 N 79th Ave Ste 105, Glendale, AZ 85308 Phone: 602-292-1862
Rachael Gustafson, LAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 W Glenn Dr Ste 140, Glendale, AZ 85301 Phone: 480-750-9337

Mrs Kelly Robinson Green, MC, LPC, LISAC - Medicare Counselor in Glendale, AZ