| Genesis Counseling Services Ltd. | |
|
1 S Main St Janesville WI 53547-8010 | |
| (608) 757-0404 | |
| (608) 757-2319 |
| Full Name | Genesis Counseling Services Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 1 S Main St, Janesville, Wisconsin |
| Authorized Official Name and Position | James A. Burns (PRESIDENT) |
| Authorized Official Contact | 6087570404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Counseling Services Ltd. Po Box 8010 Janesville WI 53547-8010 Ph: (608) 757-0404 | Genesis Counseling Services Ltd. 1 S Main St Janesville WI 53547-8010 Ph: (608) 757-0404 |
| NPI Number | 1730273483 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 0648278416 |
|---|---|
| Medicare Enrollment ID | O20061110000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730273483 | NPI | - | NPPES |
| 42145100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1381 (Wisconsin) | Primary |
| Provider Name | James A Burns |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942260757 PECOS PAC ID: 8426016833 Enrollment ID: I20041230000423 |
| Provider Name | Helen Link |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447226857 PECOS PAC ID: 6901705813 Enrollment ID: I20101012001082 |
| Provider Name | Neal R Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760925796 PECOS PAC ID: 9133498033 Enrollment ID: I20170710000772 |
| Provider Name | Nicholas W Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104223510 PECOS PAC ID: 5092070813 Enrollment ID: I20180529001795 |
| Provider Name | Lissa R Myhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891966297 PECOS PAC ID: 6507119567 Enrollment ID: I20181022002800 |
| Provider Name | Julie A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679541197 PECOS PAC ID: 9931506052 Enrollment ID: I20210916000737 |
| Provider Name | Janet M Irvine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659347235 PECOS PAC ID: 7416931522 Enrollment ID: I20220511002342 |
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