Individual provider Active NPI

Lee Ann Genussa, LMSW

  • Mental Health Counselor
  • Brewster, NY
National Provider Identifier
1801567383
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
400 Doansburg Rd
Brewster, NY 10509-5902
Phone
(845) 279-2995
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118519 NY
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

400 Doansburg Rd
Brewster, NY 10509-5902

Mailing address

400 Doansburg Rd
Brewster, NY 10509-5902
Phone (845) 279-2995

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgenussa@greenchimneys.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118519NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Feeling Good Psychotherapy LCSW, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1801567383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095902",
            "telephone_number": "845-279-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DOANSBURG RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095902",
            "telephone_number": "845-279-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENUSSA",
        "first_name": "LEE ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "118519",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgenussa@greenchimneys.org",
            "affiliation": "N",
            "address_1": "400 Doansburg Rd",
            "city": "Brewster",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105095902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.