GENESIS COUNSELING CENTER (NPI# 1194128066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194128066 |
| Entity Type | Organization |
| Organization Name | GENESIS COUNSELING CENTER |
| Practice Address |
8359 Beacon Blvd Ste 200 Fort Myers FL 33907-3065 |
| Practice Telephone | 2398496813 |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |
| Authorized Official Name | ETHAN MARTIN (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 2398496813 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 12248 | FL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871966051 | Genesis Counseling Center | Counselor | 336 S Halifax Dr, Ormond Beach, FL 32176-8111 | 2015-11-10 |
| 1306135637 | Genesis Counseling Center | Psychologist | 2005 Old Greenbrier Rd, 100, Chesapeake, VA 23320-2649 | 2011-04-07 |
| 1851680185 | Genesis Counseling Center | Psychologist | 2202 Executive Dr, Suite C, Hampton, VA 23666-6604 | 2011-04-07 |
| 1841589074 | Genesis Counseling Center | Psychologist | 372 Mclaws Cir, Williamsburg, VA 23185-5636 | 2011-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | GENESIS COUNSELING CENTER P.C. | 2202 Executive Drive, Suite C, Hampton, Virginia 23666 |
| Street Address |
8359 BEACON BLVD STE 200 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1588271985 | Sunshine New Wellness Corp | Community/Behavioral Health | 9400 Gladiolus Dr Ste 270, Fort Myers, FL 33908-7600 | 2020-09-29 |
| 1922615491 | The-merger Corp | Community/Behavioral Health | 3800 Colonial Blvd Ste 201, Fort Myers, FL 33966-1075 | 2020-09-28 |
| 1649814427 | Naples Behavioral, Inc. | Community/Behavioral Health | 12631 World Plaza Ln Bldg 54, Fort Myers, FL 33907-3990 | 2019-11-04 |
| 1184145559 | National Youth Advocate Program, Inc | Community/Behavioral Health | 4150 Ford St, Fort Myers, FL 33916-9498 | 2017-07-06 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1891167771 | Nextep Counseling and Clinical Services, LLC. | Community/Behavioral Health | 6314 Corporate Ct Ste 110, Fort Myers, FL 33919-3516 | 2015-10-30 |
| 1326422544 | United Way of Lee County, Inc. | Community/Behavioral Health | 7273 Concourse Dr, Fort Myers, FL 33908-2604 | 2015-07-17 |
| 1558752642 | Nextep Counseling and Clinical Services LLC | Community/Behavioral Health | 6313 Corporate Ct Ste 130, Fort Myers, FL 33919-3509 | 2015-02-10 |
| 1427492396 | Hope Clubhouse of Southwest Florida, Inc. | Community/Behavioral Health | 3602 Broadway, Fort Myers, FL 33901-8005 | 2013-04-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on GENESIS COUNSELING CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.