GENESIS PSYCHOTHERAPY, ASSESSMENTS, COUNSELING, & EDUCATIONAL SERVICES (NPI# 1619214772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619214772 |
| Entity Type | Organization |
| Organization Name | GENESIS PSYCHOTHERAPY, ASSESSMENTS, COUNSELING, & EDUCATIONAL SERVICES |
| Other Organization Name | METAMORPHOSIS |
| Practice Address |
904 Riverside Ave Trenton NJ 08618-5318 |
| Practice Telephone | 6093931166 |
| Practice Fax Number | 6093932140 |
| Mailing Telephone | 6093931166 |
| Mailing Fax Number | 6093932140 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Authorized Official Name | MR. BRIAN LOISEAU (DIRECTOR) |
| Authorized Official Telephone | 6096478759 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| METAMORPHOSIS | Other Name - Individual/Organization |
| Street Address |
904 RIVERSIDE AVE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08618-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467850842 | Charyl Yarbrough | Specialist | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2014-12-16 |
| 1922439652 | Taroya E Sargent | Health Educator | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2013-12-05 |
| 1952732026 | Cledicianne Dorvil | Psychologist | 904 Riverside Ave, Trenton, NJ 08618-5318 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457993 | Capitals Pizzeria | Meals | 211 Reverend Howard S. Woodson Way, Trenton, NJ 08618 | 2020-01-30 |
| 1760049738 | Stem Civics, Inc. | Local Education Agency (LEA) | 1555 Pennington Road, Ewing, NJ 08618 | 2019-05-24 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1497138705 | Jennifer Warren | Community Health Worker | 32 Newell Ave, Trenton, NJ 08618 | 2015-07-06 |
| 1447665500 | Avinique Marshall | Community Health Worker | 23 Van Duyn Dr, Ewing, NJ 08618 | 2014-06-27 |
| 1891116646 | Ameen Hasan Abdullah | Counselor | 132 Perry St., Trenton, NJ 08618 | 2013-12-20 |
| 1083042782 | Odelind King Lewis | Social Worker | 321 North Warren Street, Trenton, NJ 08618 | 2013-10-16 |
| 1346595089 | Essential Foot Care PC | Clinic/Center | 1440 Pennington Road, Ewing, NJ 08618 | 2012-07-18 |
| 1245543453 | Beverly M Gibson | Counselor | 68 Dunmore Avneue, Ewing, NJ 08618 | 2010-07-16 |
| 1386878353 | James C Wadley | Community/Behavioral Health | 312 Masterson Court, Ewing, NJ 08618 | 2009-05-06 |
| Find all providers in zip 08618 | ||||
| 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 |
|---|---|---|---|---|
| 1295225860 | Merakey New Jersey | Community/Behavioral Health | 174 Route 130, Trenton, NJ 08620-9705 | 2018-05-18 |
| 1932567914 | Oaks Integrated Care, Inc | Community/Behavioral Health | 314-316 State St., Trenton, NJ 08608 | 2016-02-04 |
| 1295117752 | Arc Mercer, Inc | Community/Behavioral Health | 106 Tyler St, Apt 1, Trenton, NJ 08609-2539 | 2015-06-22 |
| 1033591631 | Arc Mercer, Inc | Community/Behavioral Health | 837 Plum St, Trenton, NJ 08638-3352 | 2015-06-19 |
| 1669854238 | Arc Mercer, Inc | Community/Behavioral Health | 600 New York Ave, Trenton, NJ 08638-3910 | 2015-06-19 |
| 1265813000 | Arc Mercer, Inc | Community/Behavioral Health | 1112 Riverside Ave, Apt 2e, Trenton, NJ 08618-5237 | 2015-06-17 |
| 1699156562 | Arc Mercer, Inc | Community/Behavioral Health | 608 Greenwood Ave, Trenton, NJ 08609-2106 | 2015-06-16 |
| 1922485465 | Building Behavior Solutions LLC | Community/Behavioral Health | 144 Elton Ave, Trenton, NJ 08620-1622 | 2015-05-05 |
| 1275951865 | Union Association of The Children's Home of Burlington County, Inc. | Community/Behavioral Health | 818 Edgewood Ave, Trenton, NJ 08618-5302 | 2014-04-01 |
| 1871920306 | University Behavioral Health Care | Community/Behavioral Health | 1 Whittlesey Rd, Bates Building, Trenton, NJ 08618-3479 | 2013-09-30 |
| Find all providers in TRENTON | ||||
Please comment or provide details below to improve the information on GENESIS PSYCHOTHERAPY, ASSESSMENTS, COUNSELING, & EDUCATIONAL SERVICES.
| 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.