Genesi LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3512256863 Issued in OK

Legal business name

GENESI LLC

Practice address

9210 S Western Ave
A-21
Oklahoma City, OK 73139-2734

Phone

(405) 703-8755

Fax

(405) 895-7544

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Rosanne Jill Nardoni Isom, LLC

Title

Counsler

Phone

(405) 703-8755

Specialties & licenses 1

Addresses

Tax ID family

Genesi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesi LLC

  • Community/Behavioral Health Agency
  • Moore, OK
  • NPI 1669767257
  NPD tax ID

Locations

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1467746560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE",
            "address_2": "A-21",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392734",
            "telephone_number": "405-703-8755",
            "fax_number": "405-895-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE",
            "address_2": "A-21",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392734",
            "telephone_number": "405-703-8755",
            "fax_number": "405-895-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "NARDONI ISOM",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "COUNSLER",
        "authorized_official_telephone_number": "405-703-8755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "3512256863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generation Transformation
• Generational Health of Oklahoma
• Generations Community Services LLC (Access to Counseling)
• Generations Medical Center
• Generations Psychology and Counseling, LLC (Shantel Mitchell-Cooley, LCSW)
• Genesis Rehabilitation and Conditioning, PC
• Genesiscare Landmark Imaging PC
• Genesiscare Landmark Oklahoma Cancer Care PC
• Genesiscare Landmark Oklahoma Cancer Care PC
• Genoa Healthcare LLC

• Community/Behavioral Health Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.