Genesis Counseling Ministries LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4315125 Issued in WI

Legal business name

GENESIS COUNSELING MINISTRIES LLC

Practice address

821 E 1St Ave Ste 2B
Appleton, WI 54911-1586

Phone

(920) 209-9194

NPI assigned

Oct 25, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brian John Lefeber, LPCNPI 1386875755

Title

Owner

Phone

(920) 209-9194

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian John Lefeber, LPC

  • Professional Counselor
  • Appleton, WI
  • NPI 1386875755
  NPD Authorized official
• Kevin Michael Reinhold

  • Professional Counselor
  • Menasha, WI
  • NPI 1265943096
  NPD (past)

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1760854186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2338 HOLLAND RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139210",
            "telephone_number": "920-209-9194",
            "fax_number": "920-345-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E 1ST AVE STE 2B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111586",
            "telephone_number": "920-209-9194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W6254 US Highway 10 114",
            "address_purpose": "LOCATION",
            "city": "Menasha",
            "state": "WI",
            "postal_code": "549529638",
            "country_code": "US",
            "telephone_number": "920-209-9194",
            "fax_number": "920-345-7887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS COUNSELING MINISTRIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "LEFEBER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-209-9194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4315125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386875755",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ryan Lyn Gerhartz, APNP

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.