NPIMap

Organization Active NPI

Genesis Counseling Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Marlton, NJ
National Provider Identifier
1558763540
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2000171 Issued in NJ
Legal business name
GENESIS COUNSELING CENTER, INC.
Practice address
2003 Lincoln Dr W Ste C
Marlton, NJ 08053-1529
Phone
(856) 596-8007
Fax
(856) 596-8699
NPI assigned
Sep 22, 2014
Organization subpart
Yes
Parent organization
GENESIS COUNSELING CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Karen Cole
Title
Vice President of Support Services
Phone
(856) 858-9314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2000171 NJ Primary

Addresses

Primary practice location

2003 Lincoln Dr W Ste C
Marlton, NJ 08053-1529

Mailing address

566 Haddon Ave
Collingswood, NJ 08108-1444
Phone (856) 858-9314

Other identifiers 1

IdentifierTypeStateIssuer
0419192MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Genesis Counseling Cent12 organizations share this tax ID, including this one
Part of
Genesis Counseling Cent

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1558763540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081444",
            "telephone_number": "856-858-9314",
            "fax_number": "856-858-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 LINCOLN DR W STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531529",
            "telephone_number": "856-596-8007",
            "fax_number": "856-596-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COUNSELING CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS COUNSELING CENTER, INC.",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF SUPPORT SERVICES",
        "authorized_official_telephone_number": "856-858-9314"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2000171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419192",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.