Kerry Green, LCPC
NPI 1073161717 · Mental Health Counselor · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kerry Green, LCPC is a Mental Health Counselor provider in Coeur D Alene, ID (NPI 1073161717).
Provider details
- NPI number
- 1073161717
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCPC-7253 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2301 N Ironwood PlCoeur D Alene, ID 83814-2696Phone: (208) 625-4803Fax: (208) 625-5774
Registry dates
- Enumerated
- 2019-08-27
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Frequently asked questions
- What is Kerry Green's NPI number?
- Kerry Green's National Provider Identifier (NPI) is 1073161717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Green's specialty?
- Kerry Green is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kerry Green located?
- Kerry Green's practice location on file with NPPES is 250 Northwest Blvd Ste 101a, Coeur D Alene, ID 83814-2971.
- What is Kerry Green's phone number?
- The practice phone number listed in the NPPES registry for Kerry Green is (208) 661-9200.
- Does Kerry Green accept Medicare?
- Kerry Green is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kerry Green's NPI active?
- Yes — Kerry Green's NPI (1073161717) is active in the NPPES registry as of the last update on 2025-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.