Genesis Mental Health Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GENESIS MENTAL HEALTH INC.

Practice address

32 Waterloo St Ste 103
Warrenton, VA 20186-3219

Phone

(540) 300-6150

NPI assigned

Nov 18, 2020

Last updated

Sep 23, 2021By 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

Stephanie Speidel, LPCNPI 1083993125

Title

President

Phone

(540) 300-6150

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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.

• Stephanie Speidel, LPC

  • Counselor
  • Warrenton, VA
  • NPI 1083993125
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1518560002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WATERLOO ST STE 103",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863219",
            "telephone_number": "540-300-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WATERLOO ST STE 103",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863219",
            "telephone_number": "540-300-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MENTAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "SPEIDEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-300-6150",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083993125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1083993125",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://stephanie-speidel.clientsecure.me",
            "affiliation": "N",
            "address_1": "16010 Greymill Manor Dr",
            "city": "Haymarket",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201694960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ralph B Garretson, MD
• Shannon L Garrison, CRNA
• Katherine Gaudreault, NCMT
• Alexandre F Gauthier, M.D
• James Michael Gavaghan, RPH
• Gentle Dental Care of Warrenton
• Tammy M George, LCSW
• Annaliese Marie Georgi
• Demiana Samy Nathan Gergess Mekael, PHARM.D.
• Anmoldeep Singh Ghuman, DO

• Mental Health Counselor in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.