Active NPI
Genesis Counseling PLLC
- Mental Health Counselor
- Mesa, AZ
National Provider Identifier
1235875063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GENESIS COUNSELING PLLC
- Doing business as
- Genesis Counseling PLLC
- Practice address
- 4111 E Valley Auto Dr Ste 106
Mesa, AZ 85206-4607 - Phone
- (623) 225-9946
- NPI assigned
- May 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila B Christy, MA, LMFT
- Title
- Owner, Clinical Director
- Phone
- (623) 225-9946
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4111 E Valley Auto Dr Ste 106
Mesa, AZ 85206-4607
Mailing address
1381 Leisure World # Az85206
Mesa, AZ 85206-3032
Phone (623) 850-6397
Other names 1
- Genesis Counseling PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Mesa, AZ
- NPI 1437257359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651708800000",
"number": "1235875063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 LEISURE WORLD # AZ85206",
"city": "MESA",
"state": "AZ",
"postal_code": "852063032",
"telephone_number": "623-850-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 E VALLEY AUTO DR STE 106",
"city": "MESA",
"state": "AZ",
"postal_code": "852064607",
"telephone_number": "623-225-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "CHRISTY",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
"authorized_official_telephone_number": "623-225-9946",
"authorized_official_credential": "MA, LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Genesis Counseling PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- Traci Genaw
- General & Robotic Surgical Associates PLLC
- General Health Corporation
- Generational Dentistry, LLC
- Genesis Community Outreach, Training & Education
- Genesis Outpatient LLC (Genesis Out Patient)
- Genesis Physical Therapy, LLC
- Genesis Rehab Consultants PLLC
- Ashlee Genewick, PMHNP
- Genoa Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.