Genesis Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

12248 Issued in FL

Legal business name

GENESIS COUNSELING CENTER

Practice address

8359 Beacon Blvd Ste 200
Fort Myers, FL 33907-3065

Phone

(239) 849-6813

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Ethan Martin, LMHC

Title

Licensed Mental Health Counselor

Phone

(239) 849-6813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1194128066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065",
            "telephone_number": "239-849-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "239-849-6813",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "12248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard L Gemme, CRNA
• Gene Cox M.D., P.a.
• General Surgery Associates LLC
• General Surgery Institute
• Generations & Wellness Homecare Services
• Genesiscare of Florida LLC
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC
• Genesiscare USA of Florida LLC

• Community/Behavioral Health Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.