Organization Active NPI

Genesis Counseling PLLC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1235875063
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on May 5, 2022

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

Authorized official

Name
Sheila B Christy, MA, LMFTNPI 1437257359
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.