GENESIS YOUTH CRISIS CENTER, INC. (NPI# 1932318086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932318086 |
| Entity Type | Organization |
| Organization Name | GENESIS YOUTH CRISIS CENTER, INC. |
| Other Organization Name | ALTA VISTA CHILDREN'S SHELTER |
| Practice Address |
261 Haymond Hwy Clarksburg WV 26301-3868 |
| Practice Telephone | 3046223339 |
| Practice Fax Number | 3046223433 |
| Mailing Telephone | 3046223339 |
| Mailing Fax Number | 3046223433 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATT RUDDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3046221907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0902105000 | 05 |
| Other Name | Type Code |
|---|---|
| Alta Vista Children's Shelter | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609383298 | Genesis Youth Crisis Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 413 Chestnut Street, Parsons, WV 26287 | 2018-01-04 |
| Street Address |
261 HAYMOND HWY |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-3868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1033585542 | Genesis Youth Crisis Center Inc | Community/Behavioral Health | 192 Safe Haven Dr, Clarksburg, WV 26301-9103 | 2015-08-19 |
| 1821206715 | Genesis Youth Crisis Center | Community/Behavioral Health | 535 Horner Ave, Clarksburg, WV 26301-3616 | 2007-05-21 |
| 1003185687 | United Summit Center Inc | Community/Behavioral Health | 6 Hospital Plz, Clarksburg, WV 26301-9316 | 2011-12-28 |
| 1689886558 | United Summit Center Inc- Rehab | Community/Behavioral Health | 6 Hospital Plz, Clarksburg, WV 26301-9316 | 2007-05-04 |
| 1215058987 | Crimson Counseling Services | Community/Behavioral Health | 443 W Pike St, Clarksburg, WV 26301-2711 | 2007-04-02 |
| 1346373073 | Pressley Ridge | Community/Behavioral Health | Rr 5 Box 697, Clarksburg, WV 26301-9300 | 2007-03-13 |
| 1093844037 | The Arc of Harrison County | Community/Behavioral Health | 100 N 1st St, Clarksburg, WV 26301-2714 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1467068122 | Cacapon Counseling Services | Community/Behavioral Health | 38 Cherokee Trl, Berkeley Springs, WV 25411-7371 | 2020-09-18 |
| 1003420522 | Cacapon Center for Growth, Pllc | Community/Behavioral Health | 144 Grove Heights Road, Berkeley Spring, WV 25411-4816 | 2020-09-02 |
| 1558971341 | Parkersburg Addiction Recovery | Community/Behavioral Health | 1701 7th St, Parkersburg, WV 26101-5007 | 2020-08-06 |
| 1366083792 | Dumas Psychology Collective | Community/Behavioral Health | 1703 S. Kanawha, Beckley, WV 25801-2580 | 2019-10-07 |
| 1871141366 | Boone Memorial Hospital, Inc. | Community/Behavioral Health | 467 Main St Ste 4, Madison, WV 25130-2200 | 2019-08-28 |
| 1740844125 | Kashur Counseling Services LLC | Community/Behavioral Health | 142 N Queen St Ste 211, Martinsburg, WV 25401-3312 | 2019-05-01 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1952877334 | Callahan Counseling Services | Community/Behavioral Health | 415 Wilson St, Martinsburg, WV 25402-1074 | 2018-10-23 |
| 1326521840 | Compass Counseling, LLC | Community/Behavioral Health | 345 Prince St Ste 1, Beckley, WV 25801-4515 | 2018-09-11 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.