Star Lynn Genera, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10119 Issued in TX

Practice address

1719 Analog Dr
Richardson, TX 75081-1944

Phone

(214) 812-9802

Fax

(512) 900-8325

NPI assigned

Nov 15, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Viveri Youth Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Richardson, TX
  • NPI 1215365085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1003246802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 ASBURY PARK",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750435403",
            "telephone_number": "214-881-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 ANALOG DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811944",
            "telephone_number": "214-812-9802",
            "fax_number": "512-900-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERA",
        "first_name": "STAR",
        "middle_name": "LYNN",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bree Geary, MA, MPH
• Jean Alice Geary, FNP-C
• Mathew Geevarghese
• Fnan Gelai, FNP
• Gene E. Wyll, M.D., P.a.
• Genixa Labs LLC
• Gentle Path Transportation
• Genuine Life Wellness PLLC
• Shalomi Margaret George-Zieser, D.O.
• John M George, M.D.

• Addiction (Substance Use Disorder) Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.