GENESIS BEHAVIORAL SERVICES, INC. (NPI# 1568620466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568620466 |
| Entity Type | Organization |
| Organization Name | GENESIS BEHAVIORAL SERVICES, INC. |
| Practice Address |
6737 W Washington St Suite 2210 West Allis WI 53214-5647 |
| Practice Telephone | 4147771570 |
| Mailing Telephone | 4147771570 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | SCOTT DAVID HUNTINGTON (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 4145889062 |
| Authorized Official Credential | MA,LPC,CSAC,ICS |
| Is Organization Subpart | Y |
| Parent Organization Name | CORRECTIONAL MEDICAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | WI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306004999 | Genesis Behavioral Services, Inc. | Counselor | 1626 Clarence Court, West Bend, WI 53095 | 2008-05-30 |
| Street Address |
6737 W WASHINGTON ST SUITE 2210 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853112 | Seasons Hospice & Palliative Care of Wisconsin, Inc | Hospice Care, Community Based | 6737 W Washington St, Suite 2150, West Allis, WI 53214-5647 | 2005-07-07 |
| 1033662341 | Stacy Barry Coffey | Physical Therapist | 6737 W Washington St, Suite 2250, West Allis, WI 53214-5647 | 2016-08-03 |
| 1275976979 | Seasons Medical Group of Wisconsin, Sc | Family Medicine | 6737 W Washington St, Ste 2150, West Allis, WI 53214-5647 | 2013-04-11 |
| 1700121712 | Jessica Behagen | Marriage & Family Therapist | 6737 W Washington St, Suite 4225, West Allis, WI 53214-5647 | 2012-12-02 |
| 1346548153 | Jay Gerald East | Nurse Practitioner | 6737 W Washington St, Suite 2150, West Allis, WI 53214-5647 | 2011-03-02 |
| 1619113040 | Stephanie Diane Lowe | Clinical Nurse Specialist | 6737 W Washington St, Suite 2150, West Allis, WI 53214-5647 | 2009-01-07 |
| 1760510358 | Staff One, Ltd. | Home Health | 6737 W Washington St, Suite 2120, West Allis, WI 53214-5647 | 2007-03-02 |
| 1780721159 | Solaris, Inc. | Durable Medical Equipment & Medical Supplies | 6737 W Washington St, Suite 3260, West Allis, WI 53214-5647 | 2007-02-01 |
| 1932147386 | Aedon Homecare, LLC | Home Health | 6737 W Washington St, West Allis, WI 53214-5647 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387094 | Tracey Lynn Hooker | Substance Abuse Rehabilitation Facility | 2814 S 108th St, West Allis, WI 53227-3224 | 2020-05-07 |
| 1407160831 | Social Rehabilitation and Residential Resources, Inc. | Substance Abuse Rehabilitation Facility | 2187 S 85th St, West Allis, WI 53227-1747 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
| 1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
| 1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
| 1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
| 1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
| 1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
| 1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
| 1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
| 1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
| 1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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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.