DR. KEVIN M GREEN (PHD, MS) – Marriage & Family Therapist, NPI 1649605965

DR. KEVIN M GREEN (PHD, MS) is a healthcare provider. based in Rexburg, Idaho. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials PHD, MS. They hold a License No. 50020653902 (UT). The NPI Number for DR. KEVIN M GREEN (PHD, MS) is 1649605965

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN M GREEN (PHD, MS)
NPI
1649605965
Phone
(208) 359-4840
Address
393 E 2nd N
Enumeration Date
5 September 2013
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8921576539
Professional Enrollment ID
I20260501001419
Address ID
AZ852517630Sc4800XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

49 MARRIAGE AND FAMILY THERAPIST in ID

Provider Addresses for DR. KEVIN M GREEN (PHD, MS)

  • 393 E 2nd N

    Rexburg, ID 834401605

    Phone: (208) 359-4840

    Type: Location

  • PO BOX 845

    LEHI, UT 840430845

    Phone:

    Type: Mailing

  • 199 N 290 W

    SUITE 150

    LINDON, UT 840421810

    Phone: (801) 406-8994

    Type: Location

  • 393 E 2ND N

    REXBURG, ID 834401605

    Phone: (208) 359-4840

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83440)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. KEVIN M GREEN (PHD, MS) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN M GREEN (PHD, MS) with NPI 1649605965.
Does CMS list DR. KEVIN M GREEN (PHD, MS) as active?
Yes — DR. KEVIN M GREEN (PHD, MS) is active in the NPI listing used on this page.
What healthcare role does DR. KEVIN M GREEN (PHD, MS) hold?
Scheduling teams often label DR. KEVIN M GREEN (PHD, MS) under Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN M GREEN (PHD, MS)?
DR. KEVIN M GREEN (PHD, MS)'s geographic hint is Rexburg, Idaho in our summary view.
Is the information about DR. KEVIN M GREEN (PHD, MS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."