GENESI LLC (NPI# 1467746560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467746560 |
| Entity Type | Organization |
| Organization Name | GENESI LLC |
| Practice Address |
9210 S Western Ave A-21 Oklahoma City OK 73139-2734 |
| Practice Telephone | 4057038755 |
| Practice Fax Number | 4058957544 |
| Mailing Telephone | 4057038755 |
| Mailing Fax Number | 4058957544 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | MS. ROSANNE JILL NARDONI ISOM (COUNSLER) |
| Authorized Official Telephone | 4057038755 |
| Authorized Official Credential | LLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 3512256863 | OK | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669767257 | Genesi LLC | Community/Behavioral Health | 626 N Broadway St, Moore, OK 73160-4814 | 2011-06-13 |
| Street Address |
9210 S WESTERN AVE A-21 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679809792 | Amy Leggett Ridgway | Physical Therapist | 9210 S Western Ave, Suite 27, Oklahoma City, OK 73139-2734 | 2009-10-23 |
| 1730654310 | Jordan Michelle Glasgow | Physical Therapy Assistant | 9210 S Western Ave, Oklahoma City, OK 73139-4982 | 2018-10-10 |
| 1811348063 | Christopher Thompson | Peer Specialist | 9210 S Western Ave, Ste A-21, Oklahoma City, OK 73139-4982 | 2016-06-29 |
| 1275982357 | Susana Opare | Case Manager/Care Coordinator | 9210 S Western Ave, Suite A-21, Oklahoma City, OK 73139-4982 | 2016-06-08 |
| 1982051934 | Alexandrea Taylor | Case Manager/Care Coordinator | 9210 S Western Ave, Ste A-21, Oklahoma City, OK 73139-4982 | 2016-05-19 |
| 1669826889 | Roseline Ngozi Onyemachi | Counselor | 9210 S Western Ave, Ste A-21, Oklahoma City, OK 73139-4982 | 2016-04-14 |
| 1013375005 | Utsav Shrestha | Case Manager/Care Coordinator | 9210 S Western Ave, Ste. A-21, Oklahoma City, OK 73139-4982 | 2016-02-04 |
| 1841676954 | Ngwese Edie | Licensed Practical Nurse | 9210 S Western Ave, Suite A-21, Oklahoma City, OK 73139 | 2015-07-31 |
| 1063754182 | Modebola Fadare | Counselor | 9210 S Western Ave, Ste A-21, Oklahoma City, OK 73139-4982 | 2013-03-27 |
| 1649534744 | Henry Osayamen Evbuomwan | Counselor | 9210 S Western Ave, Suite A-21, Oklahoma City, OK 73139-2734 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| 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 |
|---|---|---|---|---|
| 1669073623 | Keonte Criswell | Community/Behavioral Health | 11530 Andover Ct, Oklahoma City, OK 73130-8217 | 2020-11-05 |
| 1730798117 | Healing Minds Counseling LLC | Community/Behavioral Health | 5300 N Meridian Ave Ste 11, Oklahoma City, OK 73112-2179 | 2020-07-30 |
| 1679122287 | New Therapeutic Environment LLC | Community/Behavioral Health | 4301 Nw 63rd St Ste 307, Oklahoma City, OK 73116-1504 | 2019-09-06 |
| 1447808944 | Noahs Ark Aba and Autism Services | Community/Behavioral Health | 14413 S Robinson Ave, Oklahoma City, OK 73170-7233 | 2019-08-28 |
| 1477011195 | Perceptive Counseling Pllc | Community/Behavioral Health | Perceptive Counseling Pllc, 6900 N Classen Blvd, Oklahoma City, OK 73116-7210 | 2019-03-12 |
| 1225594542 | Life Solutions Counseling Agency LLC | Community/Behavioral Health | 6003 N Robinson Ave Ste 102, Oklahoma City, OK 73118-7425 | 2019-02-11 |
| 1083182299 | North Oklahoma County Mental Health Center | Community/Behavioral Health | 4021 S Walker Ave, Oklahoma City, OK 73109-6972 | 2018-11-06 |
| 1649754946 | Kidventures, LLC | Community/Behavioral Health | 1601 Sw 89th St Ste B100, Oklahoma City, OK 73159-6357 | 2018-09-21 |
| 1245710136 | Nexus Solutions for Autism of Oklahoma LLC | Community/Behavioral Health | 405 Nw 30th St, Oklahoma City, OK 73118-8606 | 2018-08-20 |
| 1255854725 | Mission Treatment Centers, Inc. | Community/Behavioral Health | 948 W Hefner Rd, Oklahoma City, OK 73114-6927 | 2017-07-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
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| 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.