| Genesis Counseling Center, Inc. | |
|
2202 Executive Dr Suite C Hampton VA 23666-6604 | |
| (757) 827-7707 | |
| (757) 838-2573 |
| Full Name | Genesis Counseling Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2202 Executive Dr, Hampton, Virginia |
| Authorized Official Name and Position | Cameron Severo Ashworth (VP OF OPERATIONS) |
| Authorized Official Contact | 9264363747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Center, Inc. 2202 Executive Dr Suite C Hampton VA 23666-6604 Ph: (757) 827-7707 | Genesis Counseling Center, Inc. 2202 Executive Dr Suite C Hampton VA 23666-6604 Ph: (757) 827-7707 |
| NPI Number | 1164451399 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 8729091715 |
|---|---|
| Medicare Enrollment ID | O20060714000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164451399 | NPI | - | NPPES |
| Provider Name | Barbara A Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992732945 PECOS PAC ID: 9931153061 Enrollment ID: I20050310000784 |
| Provider Name | Trina F Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275560229 PECOS PAC ID: 3173578093 Enrollment ID: I20050314000840 |
| Provider Name | Christopher W Doriani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053323139 PECOS PAC ID: 6507869930 Enrollment ID: I20060824000252 |
| Provider Name | Lori A Burkett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205984929 PECOS PAC ID: 3072688589 Enrollment ID: I20080820000219 |
| Provider Name | Karen E Elseroad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831495308 PECOS PAC ID: 8820274038 Enrollment ID: I20110523000609 |
| Provider Name | Paul Howard Van Valin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578597662 PECOS PAC ID: 3274432570 Enrollment ID: I20110707000007 |
| Provider Name | Becky S Vanvalin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851402697 PECOS PAC ID: 3779761101 Enrollment ID: I20110707000010 |
| Provider Name | Diane Marie Neighbarger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154626992 PECOS PAC ID: 0042487043 Enrollment ID: I20120113000702 |
| Provider Name | Carey Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528264983 PECOS PAC ID: 6507019791 Enrollment ID: I20130122000367 |
| Provider Name | Adele M Martelle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447592399 PECOS PAC ID: 6002052891 Enrollment ID: I20130424000286 |
| Provider Name | Cynthia Kokoris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528495751 PECOS PAC ID: 9436388998 Enrollment ID: I20140131001878 |
| Provider Name | Cynthia Tidwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467547497 PECOS PAC ID: 9335462597 Enrollment ID: I20141219002073 |
| Provider Name | Candace S Lassiter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952779472 PECOS PAC ID: 6608177977 Enrollment ID: I20151211000427 |
| Provider Name | Ramona L Watson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1386800951 PECOS PAC ID: 4486956042 Enrollment ID: I20160113002449 |
| Provider Name | Michelle M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275993842 PECOS PAC ID: 3375842040 Enrollment ID: I20160502000449 |
| Provider Name | Carolyn C Bridges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578925459 PECOS PAC ID: 2365731163 Enrollment ID: I20161216000263 |
| Provider Name | Jennifer A Muro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912459710 PECOS PAC ID: 1658652235 Enrollment ID: I20161220001830 |
| Provider Name | Charlene D Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134676117 PECOS PAC ID: 5294019956 Enrollment ID: I20170227000095 |
| Provider Name | Brenna Squires |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104177732 PECOS PAC ID: 4587936562 Enrollment ID: I20170825002014 |
| Provider Name | Judith Lynn Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235170796 PECOS PAC ID: 3476812181 Enrollment ID: I20180125000656 |
| Provider Name | Henry L Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255519823 PECOS PAC ID: 6103168281 Enrollment ID: I20190422002449 |
| Provider Name | Chantz Bury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356990261 PECOS PAC ID: 3971834375 Enrollment ID: I20191016002567 |
| Provider Name | Sherri Spain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043852098 PECOS PAC ID: 7315370855 Enrollment ID: I20191213001653 |
| Provider Name | Erik Menjivar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568779734 PECOS PAC ID: 6709207343 Enrollment ID: I20200605001841 |
| Provider Name | Linda Bucklaew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568601649 PECOS PAC ID: 5698186187 Enrollment ID: I20201207000189 |
| Provider Name | Alyssa Anne Greineisen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912558982 PECOS PAC ID: 0446665541 Enrollment ID: I20210224000113 |
| Provider Name | Jerra L Daugherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407473093 PECOS PAC ID: 6103234190 Enrollment ID: I20210412001326 |
| Provider Name | Nathaniel Isaac |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538499579 PECOS PAC ID: 1355508680 Enrollment ID: I20220927000956 |
| Provider Name | Robert L. Kay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770077059 PECOS PAC ID: 9931455904 Enrollment ID: I20220928000992 |
| Provider Name | Joe Cato Meador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063181048 PECOS PAC ID: 5890171300 Enrollment ID: I20221006003384 |
| Provider Name | Jennifer E Stelmach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659969947 PECOS PAC ID: 2860865623 Enrollment ID: I20230227002368 |
| Provider Name | Sarah Nicole Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770078750 PECOS PAC ID: 0547634081 Enrollment ID: I20230323000639 |
| Provider Name | Brittany Rahjetta Bagby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629661012 PECOS PAC ID: 5193180693 Enrollment ID: I20230506000364 |
| Provider Name | Shara Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366045023 PECOS PAC ID: 8123497351 Enrollment ID: I20230619000038 |
| Provider Name | Cheryl Ann Mansfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265503650 PECOS PAC ID: 0749634533 Enrollment ID: I20230927003363 |
| Provider Name | George Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609643345 PECOS PAC ID: 1153771910 Enrollment ID: I20231220002258 |
| Provider Name | Estela Roman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245626209 PECOS PAC ID: 1456702125 Enrollment ID: I20240105004319 |
| Provider Name | Patricia Parks Hammersley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548805096 PECOS PAC ID: 1052754983 Enrollment ID: I20240208000284 |
| Provider Name | Melynda S Keatts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124516133 PECOS PAC ID: 8325482755 Enrollment ID: I20240214000203 |
| Provider Name | Megan Virginia Fenton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659919124 PECOS PAC ID: 8224472659 Enrollment ID: I20240214000251 |
| Provider Name | Janice Leigh Draime |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902980543 PECOS PAC ID: 6305280785 Enrollment ID: I20240214001800 |
| Provider Name | Wendy L Price |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801219951 PECOS PAC ID: 9537460936 Enrollment ID: I20240214002811 |
| Provider Name | Kirsten Burt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134688997 PECOS PAC ID: 6507200821 Enrollment ID: I20240214003687 |
| Provider Name | Laura Ann Hermiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780773507 PECOS PAC ID: 1254775596 Enrollment ID: I20240215000009 |
| Provider Name | Dana M Lyon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609102193 PECOS PAC ID: 7911341151 Enrollment ID: I20240215003642 |
| Provider Name | Michele Renee Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659034650 PECOS PAC ID: 9638513872 Enrollment ID: I20240215003693 |
| Provider Name | Dasmier Lashay Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326537473 PECOS PAC ID: 9931543188 Enrollment ID: I20240215003961 |
| Provider Name | Donna Hurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538885660 PECOS PAC ID: 1153765250 Enrollment ID: I20240216001606 |
| Provider Name | Aubrey Nicole Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982060125 PECOS PAC ID: 0941644918 Enrollment ID: I20240217000246 |
| Provider Name | James Chrisman Loomis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609016179 PECOS PAC ID: 6002250008 Enrollment ID: I20240219000100 |
| Provider Name | Danica Aimee Henrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538220009 PECOS PAC ID: 3476997362 Enrollment ID: I20240219003584 |
| Provider Name | Mark A Mortier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003979246 PECOS PAC ID: 7113361973 Enrollment ID: I20240220002788 |
| Provider Name | Jonathan Christian Stephens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467937730 PECOS PAC ID: 0749624534 Enrollment ID: I20240220003724 |
| Provider Name | Joseph Charles Titone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891900791 PECOS PAC ID: 2769826569 Enrollment ID: I20240220004064 |
| Provider Name | Lovetta Maria Ritchie |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811514995 PECOS PAC ID: 5193169910 Enrollment ID: I20240221000244 |
| Provider Name | Bonita Hale Erb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609888577 PECOS PAC ID: 9638514672 Enrollment ID: I20240229000506 |
| Provider Name | Olutoyin Oseniola Akinyanju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093410821 PECOS PAC ID: 2961847587 Enrollment ID: I20240305001355 |
| Provider Name | Michael S Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447600325 PECOS PAC ID: 7416393061 Enrollment ID: I20240306001896 |
| Provider Name | Brent G Griffin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417984477 PECOS PAC ID: 3971949355 Enrollment ID: I20240307001895 |
| Provider Name | Conor Yeomans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891490439 PECOS PAC ID: 3375989643 Enrollment ID: I20240308001203 |
| Provider Name | Shelby Debause |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932145844 PECOS PAC ID: 8921444266 Enrollment ID: I20240309000093 |
| Provider Name | Sheryl Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518210038 PECOS PAC ID: 0648616987 Enrollment ID: I20240309000133 |
| Provider Name | Meagan Plecker Walkley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053651133 PECOS PAC ID: 2365888229 Enrollment ID: I20240313003619 |
| Provider Name | Caitlin Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750081519 PECOS PAC ID: 5698112142 Enrollment ID: I20240320002080 |
| Provider Name | Gwendolyn Marie Walthes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235502907 PECOS PAC ID: 4880031020 Enrollment ID: I20240322002198 |
| Provider Name | Dustin Risser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124718135 PECOS PAC ID: 8527406339 Enrollment ID: I20240329000017 |
| Provider Name | Mary Giencke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366986259 PECOS PAC ID: 7113365487 Enrollment ID: I20240405000002 |
| Provider Name | Brandi Albright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619572443 PECOS PAC ID: 4486096872 Enrollment ID: I20240530003602 |
Vmh Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2204 Executive Dr, Suite A, Hampton, VA 23666 Phone: 757-644-3989 | |
Restore Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 N Independence Dr, Hampton, VA 23669 Phone: 757-240-3716 | |
Clinical Health Systems Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Eaton St Ste 502, Hampton, VA 23669 Phone: 757-309-7027 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Sacramento Dr, Hampton, VA 23666 Phone: 757-838-8520 Fax: 757-838-8528 | |
Dare To Empower Residential Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Seward Dr, Hampton, VA 23663 Phone: 804-835-1799 | |
Positive Intervention Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1613 Hardy Cash Dr, Hampton, VA 23666 Phone: 757-224-2000 Fax: 757-595-2776 | |
Holistic Family Solutions Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 Commerce Dr, 160, Hampton, VA 23666 Phone: 757-251-6376 Fax: 757-788-8599 |