Genesis Counseling and Psychological Services Inc

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

Legal business name

GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC

Practice address

1323 S Five Mile Rd
Boise, ID 83709-1306

Phone

(208) 375-7777

Fax

(208) 375-7598

NPI assigned

Jan 26, 2010

Organization subpart

No

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

Authorized official

Name

Neal A Boliou, PSY.D.NPI 1295881480

Title

Owner

Phone

(208) 375-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Genesis Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Counseling

  • Mental Health Counselor
  • Boise, ID
  • NPI 1437533726
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neal Boliou, PHY.D.

  • Psychologist
  • Boise, ID
  • NPI 1295881480
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1912238296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091306",
            "telephone_number": "208-375-7777",
            "fax_number": "208-375-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091306",
            "telephone_number": "208-375-7777",
            "fax_number": "208-375-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "BOLIOU",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-375-7777",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemba Boise LLC
• Brian Gemma
• Gena Hunsaker Counseling LLC
• Julie Louise Gendler, M.D.
• Genesis Counseling
• Genesis Medical Center
• Genesis Surgery Center
• Genoa Healthcare LLC
• Keren Genstler
• Matthew Thomas Genther, DNP, FNP

• Family Psychologist in Boise, ID
• Providers in Boise, ID by specialty
• Family Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.