Individual provider Active NPI

Genevieve Helen Geffert, LPC

  • Professional Counselor
  • Mauston, WI
National Provider Identifier
1437797958
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10232-125 Issued in WI
Practice address
124 Grayside Ave
Mauston, WI 53948-1913
Phone
(608) 847-7575
NPI assigned
Dec 16, 2019
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10232-125 WI Primary

Addresses

Primary practice location

124 Grayside Ave
Mauston, WI 53948-1913

Mailing address

W8632 County Road I
Oxford, WI 53952-8874
Phone (608) 369-2669

Other names 1

  • Genevieve Hines Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123000097 WI Practitioner - Mental Health Counselor 7012369341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Pine Valley Integrated Services LLCGroup PAC ID 2769777911, 5 clinicians

Practice addresses (Care Compare)

124 Grayside Ave
Mauston, WI 53948-1913
Phone (608) 847-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10232-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Valley Integrated Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Pine Valley Residential Services PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1437797958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8632 COUNTY ROAD I",
            "city": "OXFORD",
            "state": "WI",
            "postal_code": "539528874",
            "telephone_number": "608-369-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GRAYSIDE AVE",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481913",
            "telephone_number": "608-847-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFERT",
        "first_name": "GENEVIEVE",
        "middle_name": "HELEN",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10232-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "HINES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.