Active NPI
Genesis Psychotherapy, Assessments, Counseling, & Educational Services
- Community/Behavioral Health Agency
- Trenton, NJ
National Provider Identifier
1619214772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GENESIS PSYCHOTHERAPY, ASSESSMENTS, COUNSELING, & EDUCATIONAL SERVICES
- Practice address
- 904 Riverside Ave
Trenton, NJ 08618-5318 - Phone
- (609) 393-1166
- Fax
- (609) 393-2140
- NPI assigned
- Jan 9, 2013
- 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
- Mr. Brian Loiseau, LPC
- Title
- Director
- Phone
- (609) 647-8759
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X | |||
| Behavior Analyst | 103K00000X | |||
| Clinical Psychologist | 103TC0700X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| School Psychologist | 103TS0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
904 Riverside Ave
Trenton, NJ 08618-5318
Mailing address
904 Riverside Ave
Trenton, NJ 08618-5318
Phone (609) 393-1166
Other names 1
- METAMORPHOSIS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Educator
- Trenton, NJ
- NPI 1922439652
-
- Specialist
- Trenton, NJ
- NPI 1467850842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357689600000",
"number": "1619214772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 RIVERSIDE AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086185318",
"telephone_number": "609-393-1166",
"fax_number": "609-393-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 RIVERSIDE AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086185318",
"telephone_number": "609-393-1166",
"fax_number": "609-393-2140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS PSYCHOTHERAPY, ASSESSMENTS, COUNSELING, & EDUCATIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A",
"authorized_official_last_name": "LOISEAU",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "609-647-8759",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "METAMORPHOSIS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.