NPIMap

Organization Active NPI

Genesis Associates, Inc.

  • Community/Behavioral Health Agency
  • Coeur D Alene, ID
National Provider Identifier
1972657526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GENESIS ASSOCIATES, INC.
Practice address
421 E Coeur Dalene Ave
Suite 2
Coeur D Alene, ID 83814-1704
Phone
(208) 664-1606
Fax
(208) 664-9685
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Cornelius, M.S., M.A. LCPCNPI 1649324203
Title
Director of Counseling
Phone
(208) 664-1606

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

421 E Coeur Dalene Ave
Suite 2
Coeur D Alene, ID 83814-1704

Mailing address

PO Box 1677
Coeur D Alene, ID 83816-1677
Phone (208) 664-1606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972657526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1677",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838161677",
            "telephone_number": "208-664-1606",
            "fax_number": "208-664-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E COEUR DALENE AVE",
            "address_2": "SUITE 2",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141704",
            "telephone_number": "208-664-1606",
            "fax_number": "208-664-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "208-664-1606",
        "authorized_official_credential": "M.S., M.A.  LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.