Genesis Therapeutic Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GENESIS THERAPEUTIC SERVICES, LLC

Practice address

7157 Mahogany Dr
Hyattsville, MD 20785-5818

Phone

(240) 472-1433

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea McLeanNPI 1275058836

Title

Owner

Phone

(240) 472-1433

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Michelle McLean, LCPC, NCC

  • Professional Counselor
  • Landover, MD
  • NPI 1275058836
  NPD Authorized official

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1851161467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 PRINCESS ANNE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161456",
            "telephone_number": "240-472-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 MAHOGANY DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855818",
            "telephone_number": "240-472-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-472-1433"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yordanos Gebrehawariat
• Tsehaynesh Assefa Gebrekeristos, HHA CERTIFICATE
• Birtukan Bizuayen Gebremariam, LPN
• May Anne Geneblazo, OTR/L
• Genesis Pediatrics of Maryland ,Inc. (none)
• George P. Harding D.D.S., P.C.
• Krystal George, RDN
• Marshalee George, PHD, C.R.N.P., PMHNP
• Fisseha Yitbarek Ghidey, M.D
• Elaria Ibrahim Ghobrial, DDS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.