Organization Active NPI

Genesis Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spartanburg, SC
National Provider Identifier
1053719518
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GENESIS COUNSELING SERVICES, LLC
Practice address
364 S Pine St Ste A110
Spartanburg, SC 29302-2654
Phone
(864) 515-6440
Fax
(864) 308-2442
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Stephanie Nicole Pratt, LPC, LAC, CACII, MAC
Title
Owner/ Therapist
Phone
(864) 515-6440

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

364 S Pine St Ste A110
Spartanburg, SC 29302-2654

Mailing address

364 S Pine St Ste A110
Spartanburg, SC 29302-2654
Phone (864) 515-6440

Other practice location 1

126 Broadbent Way
Anderson, SC 29625-1520
Phone (864) 314-8190

National Provider Directory

National Provider Directory

Locations

126 Broadbent Way
Anderson, SC 29625
Phone (864) 314-8190

2320 E North St
Ste RR105
Greenville, SC 29607
Phone (864) 201-0043

364 S Pine St
Ste B121
Spartanburg, SC 29302

930 S Pine St
#A
Spartanburg, SC 29302

364 S Pine St
Ste A110
Spartanburg, SC 29302
Phone (864) 515-6440

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1053719518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 S PINE ST STE A110",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022654",
            "telephone_number": "864-515-6440",
            "fax_number": "864-308-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S PINE ST STE A110",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022654",
            "telephone_number": "864-515-6440",
            "fax_number": "864-308-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Broadbent Way",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296251520",
            "country_code": "US",
            "telephone_number": "864-314-8190",
            "fax_number": "864-309-0987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "864-515-6440",
        "authorized_official_credential": "LPC, LAC, CACII, MAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.