Individual provider Active NPI

Genice Marie Williams-Rivers, LPCC

  • Mental Health Counselor
  • North Royalton, OH
National Provider Identifier
1861805434
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
12677 Tall Timber Cir
North Royalton, OH 44133-3711
Phone
(216) 562-7214
Fax
(440) 457-7088
NPI assigned
Jun 11, 2014
Last updated
Jun 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X E.1800944 OH

Addresses

Primary practice location

12677 Tall Timber Cir
North Royalton, OH 44133-3711

Mailing address

12677 Tall Timber Cir
North Royalton, OH 44133-3711
Phone (216) 562-7214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722001656 OH Practitioner - Mental Health Counselor 6507220738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12677 Tall Timber Cir
North Royalton, OH 44133-3711
Phone (216) 562-7214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1800944OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
I Matter Counseling & Empowerment Services, Inc. CurrentSince Aug 24, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1861805434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 TALL TIMBER CIR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333711",
            "telephone_number": "216-562-7214",
            "fax_number": "440-457-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 TALL TIMBER CIR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333711",
            "telephone_number": "216-562-7214",
            "fax_number": "440-457-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-RIVERS",
        "first_name": "GENICE",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.