Genesis Mind Care

Primary specialty

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

Legal business name

GENESIS MIND CARE

Practice address

2020 New Garden Rd Ste D
Greensboro, NC 27410-2488

Phone

(336) 493-4712

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Aubrey Harding Junker Jr.

Title

President

Phone

(336) 493-4712

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1861090987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NEW GARDEN RD STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102488",
            "telephone_number": "336-493-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NEW GARDEN RD STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102488",
            "telephone_number": "336-493-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MIND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "JUNKER",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "HARDING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-493-4712",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gems First Stop Medical Solutions, LLC
• General Medical Clinic, PA
• Generations Family Practice, PA
• Genesis Community Support Services, LLC
• Genesis Medical Practice, PLLC
• Geneva'S Touch Home Care Agency, LLC
• Genoa Healthcare LLC
• Gental Hands of North Carolina LLC
• Jennifer Kennedy Gentel, RN
• Gentle Guardian Home Care LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.