Active NPI
Genesis Behavioral Services Incorporated
- Mental Health Counselor
- Euclid, OH
National Provider Identifier
1265994982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GENESIS BEHAVIORAL SERVICES INCORPORATED
- Practice address
- 25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453 - Phone
- (949) 500-3155
- NPI assigned
- Apr 2, 2019
- 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
- Nabil Abouriche
- Title
- President
- Phone
- (216) 273-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453
Mailing address
25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453
Phone (216) 273-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0377389 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Genesis Behavioral Services Incorporated
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Euclid, OH
- NPI 1093351579
Locations
25701 N Lakeland Blvd
Ste 403
Euclid, OH 44132
Phone (216) 273-7000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cleveland, OH
- NPI 1235428780
-
- Clinical Social Worker
- Tallmadge, OH
- NPI 1396109401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1265994982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25701 N LAKELAND BLVD STE 403",
"city": "EUCLID",
"state": "OH",
"postal_code": "441322453",
"telephone_number": "216-273-7000",
"fax_number": "216-273-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25701 N LAKELAND BLVD STE 403",
"city": "EUCLID",
"state": "OH",
"postal_code": "441322453",
"telephone_number": "949-500-3155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS BEHAVIORAL SERVICES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-02",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "ABOURICHE",
"authorized_official_first_name": "NABIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-273-7000"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0377389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.