Kortney Green, LPC, NCC, CCMHC

Key facts

NPI

1679276299

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

2327 (MS)

Practice address

11859 Rylan LN
Collinsville, MS 39325-8722

Phone

(601) 917-3132

NPI assigned

Mar 23, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 13, 2026.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1679276299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11859 RYLAN LN",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393258722",
            "telephone_number": "601-917-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 RYLAN LN",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393258722",
            "telephone_number": "601-917-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KORTNEY",
        "credential": "LPC, NCC, CCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2327",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Collinsville, MS · Mental Health Counselor in Mississippi