Active NPI
Genesis Roque, MS, LAPC
- Professional Counselor
- Hazleton, PA
National Provider Identifier
1659057370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC000752
- Practice address
- 750 E Broad St
Hazleton, PA 18201-6835 - Phone
- (570) 455-6385
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC000752 | PA | Primary |
Addresses
Primary practice location
750 E Broad St
Hazleton, PA 18201-6835
Mailing address
4 Rittenhouse PL
Drums, PA 18222-2744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC000752 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1659057370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 RITTENHOUSE PL",
"city": "DRUMS",
"state": "PA",
"postal_code": "182222744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E BROAD ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182016835",
"telephone_number": "570-455-6385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE",
"first_name": "GENESIS",
"credential": "MS, LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "APC000752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.