Active NPI
Genesis Factor International Inc.
- Emergency Care Clinic/Center
- Fort Worth, TX
National Provider Identifier
1477167591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- GENESIS FACTOR INTERNATIONAL INC.
- Practice address
- 2917 Buckskin Run Apt 808
Fort Worth, TX 76116-9601 - Phone
- (817) 983-2077
- NPI assigned
- Sep 4, 2020
- 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
- Ms. Cassandra Lamptey, MASTER IN COUNSELING
- Title
- Ceo/President
- Phone
- (817) 983-2077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Emergency Care Clinic/Center | 261QE0002X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Migrant Health Clinic/Center | 261QM1000X | |||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2917 Buckskin Run Apt 808
Fort Worth, TX 76116-9601
Mailing address
6387B Camp Bowie Blvd # 629
Fort Worth, TX 76116-5423
Phone (817) 983-2077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | genesisfactorllc@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Fort Worth, TX
- NPI 1730794140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599177600000",
"number": "1477167591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6387B CAMP BOWIE BLVD # 629",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165423",
"telephone_number": "817-983-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 BUCKSKIN RUN APT 808",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761169601",
"telephone_number": "817-983-2077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS FACTOR INTERNATIONAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-04",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A",
"authorized_official_last_name": "LAMPTEY",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "817-983-2077",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MASTER IN COUNSELING"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Migrant Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "genesisfactorllc@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2917 Buckskin Run Apt 808",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761169601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.