Diane Genco, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC 1330 Issued in AZ

Practice address

4205 N 7TH Ave
#311
Phoenix, AZ 85013-3078

Phone

(602) 253-8488

Fax

(602) 253-8340

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Az Center for Change

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1609105642
  NPD (past) Authorized official
• Encourage Empowerment

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1093937021

  Professional

  NPD (past) Authorized official

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1962540583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 N 7TH AVE",
            "address_2": "#311",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133078",
            "telephone_number": "602-253-8488",
            "fax_number": "602-253-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 N 7TH AVE",
            "address_2": "#311",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133078",
            "telephone_number": "602-253-8488",
            "fax_number": "602-253-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENCO",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC 1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS NUMBER",
            "identifier": "880709",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gem House LLC
• Deanna Gem, NP
• Garth Gemar, M.D.
• Gen Z Support Services L.L.C
• Amy Gencarelli, PHD
• Melissa M Genco, LPC
• George T Gendy, MD
• General and Vascular Surgeons PC
• General Dentistry 4 Kids-Glendale PLLC
• General Dentistry for Kids-Greenway PLLC

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.