Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Elizabeth Green

Individual provider Mental Health Counselor · NPI 1063200863

Katelyn Elizabeth Green is a Mental Health Counselor in Jerseyville, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1101 N State St
Jerseyville, IL 62052
Phone: (618) 498-0190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063200863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 21, 2025

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