Sharon Kozey Greene, LPC
Individual provider Active NPI Professional Counselor · Stafford Springs, CT
NPI 1780109058 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780109058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 452 (CT)
- Practice address
- 21 Hyde Park Rd
Stafford Springs, CT 06076-1507 - Phone
- (860) 684-4239
- Fax
- (860) 684-0511
- NPI assigned
- Aug 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
737 Woodside Dr
Westminster, MD 21157-6243
77 Kozey Rd
Eastford, CT 06242-9712
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260225002457 | CT | Practitioner - Mental Health Counselor | 7012352818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kozey Greene Wellness | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 452 | CT | Yes |
Addresses
Primary practice location
21 Hyde Park Rd
Stafford Springs, CT 06076-1507
Mailing address
21 Hyde Park Rd
Stafford Springs, CT 06076-1507
Phone (860) 684-4239
Other providers in Stafford Springs, CT
- Johnson Memorial Hospital, Inc.
- Johnson Memorial Hospital, Inc.
- Johnson Professional Associates, PC
- Laura Marie Kielb
- Cheryl Ann Kilcollins
- Mark Landry
- Nicole Lemek
- Bethany Lewis
- Elayna Joy Lindblom
- Renee Logan
All providers in Stafford Springs, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.