Organization Active NPI

Genesis Counseling Center

  • Counselor
  • Ormond Beach, FL
National Provider Identifier
1871966051
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH3217 Issued in FL
Legal business name
GENESIS COUNSELING CENTER
Practice address
336 S Halifax Dr
Ormond Beach, FL 32176-8111
Phone
(386) 677-5376
Fax
(386) 673-5347
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Dr. Timothy Lawrence McNeil, LMHCNPI 1982815403
Title
Executive Director
Phone
(386) 677-5376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH3217 FL Primary

Addresses

Primary practice location

336 S Halifax Dr
Ormond Beach, FL 32176-8111

Mailing address

336 S. Halifax Drive
Ormond Beach, FL 32176
Phone (386) 677-5376

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1871966051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S. HALIFAX DRIVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32176",
            "telephone_number": "386-677-5376",
            "fax_number": "386-673-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S HALIFAX DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321768111",
            "telephone_number": "386-677-5376",
            "fax_number": "386-673-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "386-677-5376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH3217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.