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

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.

• Sara Peterson, M.S., LCPC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1164876132

  Professional

  NPD (past) Authorized official

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 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.