MS. GENAEA MARIE CARSON NPI 1336631662

NPI Information

  • NPI: 1336631662
  • Provider Name: MS. GENAEA MARIE CARSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 401 E 162ND ST
    SOUTH HOLLAND, IL
    ZIP 60473
  • Phone: (773) 819-5504

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NPI Details

MS. Genaea Marie Carson is a mental health counselor in South Holland, IL. MS. Genaea Marie Carson NPI is 1336631662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (773) 819-5504
Fax: (800) 220-1656

The enumeration date for this NPI number is 6/1/2018 and was last updated on 8/7/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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