GENESIS TREATMENT SERVICES (NPI# 1770980245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770980245 |
| Entity Type | Organization |
| Organization Name | GENESIS TREATMENT SERVICES |
| Practice Address |
1106 Business Pkwy S Ste B Westminster MD 21157-3054 |
| Mailing Address |
Po Box 194 Hampstead MD 21074-0194 |
| Practice Telephone | 4107517771 |
| Mailing Telephone | 4109670058 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Authorized Official Name | JOEL PRELL (PRESIDENT) |
| Authorized Official Telephone | 4109670058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
905161 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 414973400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789136 | Genesis Treatment Services | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2020-04-23 |
| 1427299510 | Genesis Treatment Services | Clinic/Center | 1106 Business Parkway South, Suite B, Westminster, MD 21157 | 2009-03-19 |
| Street Address |
1106 BUSINESS PKWY S STE B |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003071226 | Genesis Treatment Services, LLC | Clinic/Center | 1106 Business Pkwy S, Suite B, Westminster, MD 21157-3054 | 2008-07-28 |
| 1902253412 | Kristy Hicks | Counselor | 1106 Business Pkwy S, Suite B, Westminster, MD 21157-3054 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912513 | Hilda's Place Behavioral Health Organization | Clinic/Center | 684 Poole Rd, Westminster, MD 21157-6171 | 2020-05-04 |
| 1982869244 | Associated Catholic Charities | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2008-07-25 |
| 1871669721 | Carroll County Youth Service Bureau, Inc. | Clinic/Center | 59 Kate Wagner Rd., Westminster, MD 21157 | 2006-11-24 |
| 1558831602 | Quest Counseling Services LLC | Clinic/Center | 8461 Turnpike Dr Ste 207, Westminster, CO 80031-4379 | 2018-12-02 |
| 1194220467 | Family and Childrens Services of Central Maryland Inc | Clinic/Center | 22 N Court St, Westminster, MD 21157-5110 | 2018-03-28 |
| 1659800142 | Access Carroll, Inc. | Clinic/Center | 10 Distillery Rd Ste 200, Westminster, MD 21157-5344 | 2017-06-08 |
| 1104188986 | Associated Catholic Charities, Inc | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2012-06-08 |
| 1679860381 | Carroll County Youth Service Bureau Inc: Court Street Services | Clinic/Center | 98 N Court St, Westminster, MD 21157-9300 | 2011-07-01 |
| 1124322342 | Associated Catholic Charities, Inc | Clinic/Center | 1129 Business Pkwy S Ste A, Westminster, MD 21157-3004 | 2011-01-03 |
| 1023339595 | Associated Catholic Charities, Inc. | Clinic/Center | 255 Clifton Blvd, Suite 302, Westminster, MD 21157-4690 | 2010-06-18 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.