Individual provider Active NPI

Genevieve R Hansler, MSW, LCSW, LCAS

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1073709820
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C005790 Issued in NC
Practice address
1133 Military Cutoff Road
Suite 210
Wilmington, NC 28405-4086
Phone
(910) 256-3784
Fax
(910) 256-3787
NPI assigned
Sep 14, 2007
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C005790 NC Primary

Addresses

Primary practice location

1133 Military Cutoff Road
Suite 210
Wilmington, NC 28405-4086

Mailing address

1133 Military Cutoff Road
Suite 210
Wilmington, NC 28405-4086
Phone (910) 256-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000624 NC Practitioner - Clinical Social Worker 7012040595 Practice locations: Wilmington, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2450 Delaney Ave
Wilmington, NC 28403-6062
Phone (910) 256-3784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005790NCMDMental Health Counselor
C005799NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LMV Counseling, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1073709820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF ROAD",
            "address_2": "SUITE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054086",
            "telephone_number": "910-256-3784",
            "fax_number": "910-256-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MILITARY CUTOFF ROAD",
            "address_2": "SUITE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284054086",
            "telephone_number": "910-256-3784",
            "fax_number": "910-256-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSLER",
        "first_name": "GENEVIEVE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C005790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.