Individual provider Active NPI

Michael W. Hamilton-Genson, NCC, LPCA

  • Counselor
  • Mooresville, NC
National Provider Identifier
1962757062
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A7784 Issued in NC
Practice address
363 Williamson Rd
Mooresville, NC 28117-5973
Phone
(704) 664-7148
NPI assigned
Jul 16, 2012
Last updated
Sep 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A7784 NC Primary

Addresses

Primary practice location

363 Williamson Rd
Mooresville, NC 28117-5973

Mailing address

363 Williamson Rd
Mooresville, NC 28117-5973
Phone (704) 664-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A7784NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Therapy Center, PC PastSince Jun 1, 2000 Accepting new patients
Child & Family Therapy Center PC Past Accepting new patients

Organizations & group practices 2

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1962757062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175973",
            "telephone_number": "704-664-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175973",
            "telephone_number": "704-664-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON-GENSON",
        "first_name": "MICHAEL",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "NCC, LPCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A7784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

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