Individual provider Active NPI

Geniene Michelle Gersh, PHD, LPC, NCC, LLP

  • Professional Counselor
  • Allegan, MI
National Provider Identifier
1225020415
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011622 Issued in MI
Practice address
3283 122ND Ave
Allegan, MI 49010-9590
Phone
(269) 673-3384
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 6301009291 MI
Professional Counselor 101YP2500X 6401011622 MI Primary

Addresses

Primary practice location

3283 122ND Ave
Allegan, MI 49010-9590

Mailing address

3283 122ND Ave
Allegan, MI 49010-9590
Phone (269) 673-3384

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401011622MIMDProfessional Counselor
6301009291MIMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health Services Past Accepting new patients
Allegan County Community Mental Health PastSince Jan 22, 2023 Accepting new patients

Organizations & group practices 2

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1225020415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 122ND AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109590",
            "telephone_number": "269-673-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 122ND AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490109590",
            "telephone_number": "269-673-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSH",
        "first_name": "GENIENE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301009291",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.