P Praxis·MD
● Active Type 1 · Individual

Kerry M Green, LCPC

Counselor·Coeur D Alene, ID· NPI 1073161717 · Enumerated 2019 · 6 years on NPI
Green is 1 of 140 counselor providers in Coeur D Alene and 1 of 1998 in Idaho.
NPI age
6 years
Enumerated 2019-08-27
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
6 years
≈ at median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
250 Northwest Blvd Ste 101a
Coeur D Alene, ID 838142971
📞 2086619200
Mailing address
250 Northwest Blvd Ste 101a
Coeur D Alene, ID 838142971

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2301 N Ironwood Pl
Coeur D Alene, ID 838142696
📞 2086254803fax 2086255774

Specialties

  • Counselor Primary
    Definition to come...
    ID license #LCPC-7253 taxonomy 101YM0800X
  • Counselor
    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
    ID license #LCPC-7253 taxonomy 101Y00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new counselor providers have been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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