Kelly Maureen Greene, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004892 Issued in NY

Practice address

122 Business Park Dr Ste 1
Utica, NY 13502

Phone

(315) 732-3431

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1417311549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132442",
            "telephone_number": "315-725-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BUSINESS PARK DR STE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-732-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Kellogg Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134132825",
            "country_code": "US",
            "telephone_number": "315-725-8556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Business Park Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "13502",
            "country_code": "US",
            "telephone_number": "315-732-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KELLY",
        "middle_name": "MAUREEN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larisa M. Graziano, NP
• Kendra Green, MSW
• Sarah Green
• Shannon Green, HHA
• Stacey Rae Green
• Vivian Lee Greenfield
• Neil Stephen Greer
• Gregory B. Shankman, M.D., P.C.
• Bethany M Grems-Williams
• Laura Anne Grenier, PT

• Mental Health Counselor in Utica, NY
• Providers in Utica, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.