Active NPI
Genesis Community Outreach, Training & Education
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1477249779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GENESIS COMMUNITY OUTREACH, TRAINING & EDUCATION
- Practice address
- 7565 E Eagle Crest Dr Ste 100
Mesa, AZ 85207-1041 - Phone
- (480) 203-6130
- NPI assigned
- Apr 11, 2023
- 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
- John Delorenzo
- Title
- Managing Member
- Phone
- (480) 203-6130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
7565 E Eagle Crest Dr Ste 100
Mesa, AZ 85207-1041
Mailing address
7565 E Eagle Crest Dr Ste 100
Mesa, AZ 85207-1041
National Provider Directory
National Provider DirectoryLocations
7565 E Eagle Crest Dr
Ste 100
Mesa, AZ 85207
Phone (480) 203-6130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1932301645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1477249779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7565 E EAGLE CREST DR STE 100",
"city": "MESA",
"state": "AZ",
"postal_code": "852071041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7565 E EAGLE CREST DR STE 100",
"city": "MESA",
"state": "AZ",
"postal_code": "852071041",
"telephone_number": "480-203-6130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS COMMUNITY OUTREACH, TRAINING & EDUCATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "DELORENZO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "480-203-6130"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.