Individual provider Active NPI

Bethany Lynn Genenbacher, LCSW, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Yorkville, IL
National Provider Identifier
1679776165
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
20901 Issued in IL
Practice address
811 W John St
Yorkville, IL 60560-9249
Phone
(630) 553-9100
Fax
(630) 553-0167
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20901 IL Primary
Clinical Social Worker 1041C0700X IL

Addresses

Primary practice location

811 W John St
Yorkville, IL 60560-9249

Mailing address

811 W John St
Yorkville, IL 60560-9249
Phone (630) 553-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114003034 IL Practitioner - Clinical Social Worker 8224562111 Practice locations: Yorkville, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

221 Pleasure Dr
Yorkville, IL 60560-1150
Phone (630) 401-1951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20901ILMDAddiction (Substance Use Disorder) Counselor
149012417ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679776165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W JOHN ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609249",
            "telephone_number": "630-553-9100",
            "fax_number": "630-553-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W JOHN ST",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605609249",
            "telephone_number": "630-553-9100",
            "fax_number": "630-553-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENENBACHER",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "20901",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.