NPIMap

Organization Active NPI

Genesis Youth & Family Services, LLC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1760717656
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GENESIS YOUTH & FAMILY SERVICES, LLC
Practice address
9700 Research Dr
Suite 122
Charlotte, NC 28262-8552
Phone
(704) 549-4406
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Mrs. Teresa Jackson
Title
Ceo
Phone
(704) 549-4406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

9700 Research Dr
Suite 122
Charlotte, NC 28262-8552

Mailing address

9700 Research Dr
Suite 122
Charlotte, NC 28262-8552

National Provider Directory

National Provider Directory
Tax ID family
Genesis Youth Family Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1760717656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR",
            "address_2": "SUITE 122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR",
            "address_2": "SUITE 122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628552",
            "telephone_number": "704-549-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS YOUTH & FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-549-4406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.