Rosalie Genova, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC010001 Issued in PA

Practice address

66 Baribeau Dr
Brunswick, ME 04011

Phone

(207) 373-6965

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rosalie Genova, LCPC, CCS

  • Adult Mental Health Clinic/Center
  • Portland, ME
  • NPI 1134837222
  NPD Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1386158558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-373-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVA",
        "first_name": "ROSALIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC010001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Leo Garneau, DPT
• Yunkyoung Garrison
• Starla Kaye Geannikis, LCSW
• Carlie M Geiger, M.S. CCC-SLP
• Genoa Healthcare LLC
• Leonard D Genovese, MD
• Gregory George Gensheimer, M.D.
• Meghan Rose Gilbert
• Jaye A Gilmore, RN
• Gregory L Gimbel, MD

• Counselor in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.