Active NPI
Genesis Counseling Center
- Counselor
- Ormond Beach, FL
National Provider Identifier
1871966051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH3217
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Lawrence McNeil, LMHC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Pastoral Counselor
- Ormond Beach, FL
- NPI 1982815403
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.