Individual provider Active NPI

Tina Jean Genaro, LPC

  • Counselor
  • Roanoke, VA
National Provider Identifier
1154354819
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701003792 Issued in VA
Practice address
4212 Cypress Park Dr Ste F
Roanoke, VA 24018-8417
Phone
(540) 283-5215
Fax
(540) 400-8177
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701003792 VA Primary

Addresses

Primary practice location

4212 Cypress Park Dr Ste F
Roanoke, VA 24018-8417

Mailing address

4212 Cypress Park Dr Ste F
Roanoke, VA 24018-8417
Phone (540) 283-5215

Other identifiers 1

IdentifierTypeStateIssuer
010129800MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kasey & Associates LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1154354819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CYPRESS PARK DR STE F",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188417",
            "telephone_number": "540-283-5215",
            "fax_number": "540-400-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CYPRESS PARK DR STE F",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188417",
            "telephone_number": "540-283-5215",
            "fax_number": "540-400-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENARO",
        "first_name": "TINA",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701003792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010129800",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.