Provider Type Icon

GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC NPI 1912238296


NPI Information

NPI: 1912238296
Provider Name: GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC
Classification: Psychologist - 103TF0000X
Entity Type: Organization

Specialization: Family

Address:
1323 S FIVE MILE RD
BOISE, ID
ZIP 83709
Phone: (208) 375-7777
Get Directions

GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC is a family psychologist in Boise, ID. The provider is a psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. GENESIS COUNSELING AND PSYCHOLOGICAL SERVICES INC NPI is 1912238296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1323 S FIVE MILE RD
BOISE, ID
ZIP 83709-306
Phone: (208) 375-7777
Fax: (208) 375-7598

The provider's authorized official is Neal A Boliou .
The authorized official title is Owner and has the following contact phone number (208) 375-7777.

The enumeration date for this NPI number is 1/26/2010 and was last updated on 9/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0000XPsychologistFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11680409MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.