MS. STACY KANEN-GREEN LCSW
NPI 1598777955
Counselor - Addiction (Substance Use Disorder) in Smithtown, NY

NPI Status: Active since August 13, 2006

Contact Information

11 ROUTE 111
SMITHTOWN, NY
ZIP 11787
Phone: (631) 920-8300
Fax: (631) 920-8460

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  • Individual
  • Female
  • Years of Experience 22
  • Counselor
  • Addiction (Substance Use Disorder)
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About STACY KANEN-GREEN

This page provides the complete NPI Profile along with additional information for Stacy Kanen-green, a provider established in Smithtown, New York with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1598777955 assigned on August 2006. The practitioner's primary taxonomy code is 101YA0400X with license number 12340 (NY). The provider is registered as an individual and her NPI record was last updated September 2025.

NPI
1598777955
Provider Name
MS. STACY KANEN-GREEN LCSW
Gender
Female
Entity Type
Individual
Location Address
11 ROUTE 111 SMITHTOWN, NY 11787
Location Phone
(631) 920-8300
Location Fax
(631) 920-8460
Mailing Address
7 WALKER AVE SYOSSET, NY 11791
Mailing Phone
(516) 884-2471
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
08-13-2006
Last Update Date
09-11-2025
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A Substance Abuse or Addiction Counselor like Stacy Kanen-green advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers
License No.
12340
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

0444701 (NY)

Medicare Participation & PECOS Enrollment Status

Stacy Kanen-green is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Stacy Kanen-green is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103929872

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070319000053

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MS. STACY KANEN-GREEN LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598777955
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518814714910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 4 + 7 + 1 + 4 + 9 + 1 + 0 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1598777955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841200011MRS. TARA MARIE BRUNSWICK M.S., L. C. S. W.
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8326
1306856596MRS. JENINE L. YANNUCCIELLO LCSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8325
1639189830MRS. JENNIFER A GENNOSA LMSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1477564268DR. ASHVIN DOSHI M.D.
Individual
Psychiatry & Neurology (Psychiatry)11 ROUTE 111 PEDERSON-KRAG CENTER
SMITHTOWN, NY 11787
(631) 920-8300
1326059601 PRAFUL M JOSHI MD
Individual
Psychiatry & Neurology (Psychiatry)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1780696914DR. DEVENDRA A AMIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1508879230MR. WILLIAM POLCHINSKI LCSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1619085537 DONNA M. BORNFRIEND LCSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1891897567 ROSEMARIE C STRUK LCSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1376649756MS. CASEY ANNE HINES L-CSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1053402859 GAYLE MCCARTHY LCSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1447330329 COLLETTE DIGNAM LMSW
Individual
Social Worker11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1710061254MS. KRISTA RENEE' WHITMAN LMSW
Individual
Social Worker11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8336
1447315767 KAREN WALSH LMSW
Individual
Social Worker11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1285790626MS. LORRAINE GARDOS LCSW
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1710024211 EILEEN LEVY NPP
Individual
Nurse Practitioner (Psychiatric/Mental Health)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1760524284 JENNIFER SERRENTINO MD
Individual
Psychiatry & Neurology (Psychiatry)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8351
1518094325MRS. DEBRA LYNN PEOPLES L.M.S.W.
Individual
Social Worker (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1053449256 VAISHNAVI VADDIGIRI M.D.
Individual
Psychiatry & Neurology (Psychiatry)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300
1619094430DR. CHRISTIAN THOMAS RACINE PH.D.
Individual
Psychologist (Clinical)11 ROUTE 111
SMITHTOWN, NY 11787
(631) 920-8300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598777955, enumerated in the NPI registry as an "individual" on August 13, 2006

The provider is located at 11 Route 111 Smithtown, Ny 11787 and the phone number is (631) 920-8300

The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)

The provider has more than 22 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on August 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.