Genesis Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

161534 Issued in KY

Legal business name

GENESIS COUNSELING LLC

Practice address

1111 N Dixie Ave Ste 2
Elizabethtown, KY 42701-2764

Phone

(270) 991-2951

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte C. Davis, LPCC

Title

Owner

Phone

(270) 991-2951

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1497208524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N DIXIE AVE STE 2",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012764",
            "telephone_number": "270-991-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N DIXIE AVE STE 2",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012764",
            "telephone_number": "270-991-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-991-2951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "161534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100337300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Garrity, CRNA
• Rebecca Marie Gash, BSW, TCADA, CADC-A
• Vicente Gavieres, MD
• Mohammad K Gayasaddin, MD
• Roger Lewis Gelperin, D.O.
• Genesis Rehab
• Genesisrehab Services
• Carol George, ATC
• Paul E Gerard III, M.D.
• Cheryl D Geren, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.