Elysian Mindscape Xxii

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELYSIAN MINDSCAPE XXII

Doing business as

A New Genesis Mental & Behavioral Health Services

Practice address

17 E Market St Ste 112
York, PA 17401-1266

Phone

(717) 472-8384

NPI assigned

Jan 24, 2025

Last updated

Jan 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vanay Lahson Frederick-EllisNPI 1629824487

Title

Founder/Owner

Phone

(717) 472-8384

Specialties & licenses 1

Addresses

Other names 1

• A New Genesis Mental & Behavioral Health Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanay Lashon Frederick-Ellis, PHD

  • Mental Health Counselor
  • York, PA
  • NPI 1629824487
  NPD Authorized official

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1447062666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SUNSET LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174089565",
            "telephone_number": "717-819-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E MARKET ST STE 112",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011266",
            "telephone_number": "717-472-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN MINDSCAPE XXII",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "FREDERICK-ELLIS",
        "authorized_official_first_name": "VANAY",
        "authorized_official_middle_name": "LAHSON",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "717-472-8384",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Genesis Mental & Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in York, PA
• Providers in York, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.