Stephan Genovese Jr., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003300 Issued in CT

Practice address

1720 Post Rd E Ste 123
Westport, CT 06880-5643

Phone

(203) 255-0301

NPI assigned

Jul 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1699127498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 POST RD E STE 123",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805643",
            "telephone_number": "203-255-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 POST RD E STE 123",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805643",
            "telephone_number": "203-255-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "STEPHAN",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "003300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Gatto, CCC-SLP
• Daniel Gazaille, DPT
• Debra Ann Geiger, EDD, PMHNP-BC, APRN
• Jonathan David Geller, MSW
• Marilyn R. Geni, DMD
• Andrew Joseph Gentile, PHD
• Andrew S Gentile, PHD
• Matthew George
• Thomas Anthony George, MS RPT
• Jody Gerard, M.D.

• Mental Health Counselor in Westport, CT
• Providers in Westport, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.