Genesis Behavioral Services Incorporated

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

GENESIS BEHAVIORAL SERVICES INCORPORATED

Practice address

25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453

Phone

(216) 273-7000

Fax

(216) 273-7371

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Nabil Abouriche

Title

Ceo

Phone

(216) 273-7000

Specialties & licenses 2

Addresses

Tax ID family

Genesis Behavioral Services Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Behavioral Services Incorporated

  • Mental Health Counselor
  • Euclid, OH
  • NPI 1265994982
  NPD tax ID

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1093351579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 403",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322453",
            "telephone_number": "216-273-7000",
            "fax_number": "216-273-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 403",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322453",
            "telephone_number": "216-273-7000",
            "fax_number": "216-273-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BEHAVIORAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ABOURICHE",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-273-7000"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone A Gatewood
• Lolita Gator, STNA
• Gba Homecare Services
• Rachelle Geisinger
• Nina I General
• Genesis Behavioral Services Incorporated
• Genesis Eldercare Rehab Services
• Michelle Genovese
• Gentle Embrace Home Care LLC
• Gentleshepherd Home Health Care, LLC

• Addiction (Substance Use Disorder) Counselor in Euclid, OH
• Providers in Euclid, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.