The Genesis Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

THE GENESIS CENTER

Practice address

457 Griswold Rd
Elyria, OH 44035-2304

Phone

(440) 406-8006

Fax

(440) 406-8097

NPI assigned

Sep 16, 2019

Organization subpart

No

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

Authorized official

Name

Lisa Marie Hollo, MA ATR LPCC-S

Title

Director

Phone

(440) 406-8006

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

The Genesis Center2 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.

• The Genesis Center

  • Mental Health Counselor
  • Elyria, OH
  • NPI 1235779893
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/genesiscenter/r4/

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1225688906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 GRISWOLD RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352304",
            "telephone_number": "440-406-8006",
            "fax_number": "440-406-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 GRISWOLD RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352304",
            "telephone_number": "440-406-8006",
            "fax_number": "440-406-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GENESIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "HOLLO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-406-8006",
        "authorized_official_credential": "MA ATR LPCC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.genesiscenter.net",
            "affiliation": "N",
            "address_1": "457 Griswold Rd",
            "city": "Elyria",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440352304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Ann Teitelbaum, PHD
• Christie Lynn Thacker, LPN
• Kristin Marie Thacker
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Genesis Center
• The Krystal Foundation
• James Fraser Thoburn, PA-C
• Robyn Anne Thomas
• Roy Hamilton Thomas, M.D.

• Substance Abuse Rehabilitation Facility in Elyria, OH
• Providers in Elyria, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.