Genesis Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GENESIS COUNSELING, LLC

Practice address

7495 W Azure Dr Ste 204
Las Vegas, NV 89130-4423

Phone

(702) 970-4158

Fax

(855) 940-4887

NPI assigned

Mar 3, 2020

Last updated

May 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara L PetersonNPI 1164876132

Title

Owner

Phone

(702) 970-4158

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Peterson, M.S., LCPC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1164876132
  Authorized official Same address or phone

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1093340705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 W. FARM RD. STE.120",
            "address_2": "#423",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318306",
            "telephone_number": "702-970-4158",
            "fax_number": "855-940-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 W AZURE DR STE 204",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304423",
            "telephone_number": "702-970-4158",
            "fax_number": "855-940-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-970-4158"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generations Med Center LLC
• Dwight Duano Generoso, NP
• Genesis Behavioral Health
• Genesis Behavioral LLC
• Genesis Care (Genesis Hospice Care)
• Genesis Integrated Medicine
• Genesis Medical Center LLC
• Genesis Medical Clinic LLC
• Genesis New Beginnings LLC
• Genesis New Beginnings LLC

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.