Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871104810 Individual Practitioner Female Practitioner

Kellye F Green

Peer Specialist • Altus, OK

Professional Overview & Biography Verified Profile Summary

Kellye Green is a registered healthcare professional specializing in Peer Specialist in Altus, OK. Practice services are available at 111 N HUDSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 N Hudson St

Altus, OK 735213811

Telephone 5803794085
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Altus, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Altus, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Sarah Biddy

Counselor - Mental Health

NPI 1093151318
Kyanna Tripp

Peer Specialist

NPI 1104410760
Dana Winters

Counselor - Mental Health

NPI 1164948808
Heather Hill , BBA

Case Manager/Care Coordinator

NPI 1245769082
Katrina Ellis , LPC

Counselor - Professional

NPI 1275952814

Licensed Professional Counselor

Jera Diltz

Counselor - Mental Health

NPI 1326494055

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2020

Registered at 111 N HUDSON ST, ALTUS, OK 735213811 (Tel: 5803794085)

📍
Updated Business Mailing Address August 13, 2020

Registered at 4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 731055104 (Tel: 5803794085)

👤
Provider Name / Credentials Updated August 13, 2020

Recorded as KELLYE GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2020

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871104810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2020
Last Update: August 13, 2020
Sole Proprietor: No

Mailing Address

4400 N Lincoln Blvd

Oklahoma City, OK 731055104

Phone: 5803794085

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.