Genesis House, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENESIS HOUSE, INC

Practice address

121 Locust Street
2ND/3Rd Floor
Harrisburg, PA 17101

Phone

(570) 322-0520

Fax

(570) 326-9674

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shakeena Bernique Lee, MSW, LSW, ACSW, CAADNPI 1861118010

Title

Executive Director

Phone

(570) 322-0520

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Genesis House Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Genesis House, Inc

  • Public Health or Welfare Agency
  • Bloomsburg, PA
  • NPI 1518124783
  NPD tax ID
• Genesis House, Inc

  • Clinic/Center
  • Williamsport, PA
  • NPI 1801995832
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakeena B Lee, MSW, LSW

  • Mental Health Counselor
  • Williamsport, PA
  • NPI 1861118010

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1609976661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEST 4TH ST.",
            "address_2": "STE G-01",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177017201",
            "telephone_number": "570-322-0520",
            "fax_number": "570-326-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LOCUST STREET",
            "address_2": "2ND/3RD FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17101",
            "telephone_number": "570-322-0520",
            "fax_number": "570-326-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAKEENA",
        "authorized_official_middle_name": "BERNIQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-322-0520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LSW, ACSW, CAAD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "227060",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007283800004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Geist
• Polina Gelfer, M.D.
• Denise Jocelyn Gemzik Jemiola, CRNP
• Generalhealthgroup of Pennsylvania
• Genesis Healthcare Corporation
• Barbara Genna
• Genuine Care Home Health Aid Agency LLC
• George M. Kosco III, D.O. and Associates, P.C.
• Beverly George, RN
• Paula B George, MD

• Clinic/Center in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.