Active NPI
Genesis Adult Education Academy
- Developmentally Disabled Services Day Training Agency
- Bartow, FL
National Provider Identifier
1760358303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- GENESIS ADULT EDUCATION ACADEMY
- Practice address
- 220 S Central Ave Unit 982
Bartow, FL 33831-7041 - Phone
- (863) 934-4375
- Fax
- (863) 934-4375
- NPI assigned
- Oct 13, 2025
- 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
- Amber Velora Screen, LMHC
- Title
- Owner
- Phone
- (863) 934-4375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
220 S Central Ave Unit 982
Bartow, FL 33831-7041
Mailing address
220 S Central Ave Unit 982
Bartow, FL 33831-7041
Phone (863) 934-4375
National Provider Directory
National Provider DirectoryLocations
220 S Central Ave
Unit 982
Bartow, FL 33831
Phone (863) 934-4375
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bartow, FL
- NPI 1013442367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1760358303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S CENTRAL AVE UNIT 982",
"city": "BARTOW",
"state": "FL",
"postal_code": "338317041",
"telephone_number": "863-934-4375",
"fax_number": "863-934-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S CENTRAL AVE UNIT 982",
"city": "BARTOW",
"state": "FL",
"postal_code": "338317041",
"telephone_number": "863-934-4375",
"fax_number": "863-934-4375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS ADULT EDUCATION ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-13",
"certification_date": "2025-10-12",
"status": "A",
"authorized_official_last_name": "SCREEN",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "VELORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-934-4375",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.