Kimberly Greenlee

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013366 Issued in IL

Practice address

2506 Galen Dr Ste 108
Champaign, IL 61821-7047

Phone

(217) 262-9508

Fax

(217) 703-8988

NPI assigned

May 28, 2016

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim Greenlee Counseling Services, LLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1659962041
  Medicare reassignment NPD Authorized official
• Champaign Counseling LLC

  • Clinical Social Worker
  • Savoy, IL
  • NPI 1770938359
  Medicare reassignment NPD
• McGill Counseling, LLC

  • Counselor
  • Champaign, IL
  • NPI 1316545296
  NPD (past)

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1679921837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 GALEN DR STE 108",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217047",
            "telephone_number": "217-262-9508",
            "fax_number": "217-703-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 GALEN DR STE 108",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217047",
            "telephone_number": "217-262-9508",
            "fax_number": "217-703-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENLEE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim@kimgreenleecounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2506 Galen Dr Ste 108",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618217047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gray,Yallaly & Black, D.D.S., LTD.
• Great Winds Counseling PLLC
• Sean-Michael Green
• Stephanie P Green, APN, FNP
• Avona Eloise Greene, HIS
• Jason Owen Greenly, BA, MHP
• Kristi L. Gresch, P.T.
• Adam S. Griffin, MD
• Chase Griffin, LCSW
• Joann Kathryn Griffin, BSN

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.