Kelly Green, MC, LPC, LISAC
Kelly Green, MC, LPC, LISAC is a Professional Counselor in Glendale, AZ, registered under NPI 1144514811. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 5701 W TALAVI BLVD STE 180, Glendale, AZ 85306. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| LPC-11799 | AZ | Professional Counselor primary |
| LISAC-1345 | AZ | Addiction (Substance Use Disorder)… |
This provider holds licence LPC-11799 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Mental Health Counselor
- PAC ID
- 9638522345
- Enrollment ID
- I20240130001106
Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Professional covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor Professional | LPC-11799 | AZ | primary |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | LISAC-1345 | AZ |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1144514811 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 30, 2011 |
| Last updated | Aug 26, 2022 |
| Status | Active |
| Sole proprietor | No |
| Credential | MC, LPC, LISAC |
| Practice address |
5701 W TALAVI BLVD STE 180 Glendale, AZ 85306 (623) 687-2865 Fax (623) 486-2739 |
| Mailing address |
4747 N 7TH ST STE 100 Phoenix, AZ 85014 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 5 | 1 | 4 | 8 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 1 | 1 | 8 | 8 | 2 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.