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GENESIS BEHAVIORAL SERVICES, INC
NPI 1043588254
Counselor - Addiction (Substance Use Disorder) in West Bend, WI

Active since December 02, 2011
1626 CLARENCE CT, WEST BEND, WI 53095(262) 338-8611(262) 338-3367 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Behavioral Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS BEHAVIORAL SERVICES, INC (NPI 1043588254) is a healthcare organization registered as an addiction (substance use disorder) in West Bend, Wisconsin and active in the NPI registry since December 2011. The organization lists Kimberly A Kunz, Director, as its authorized official.

NPPES Registry Identity

NPI1043588254
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameGENESIS BEHAVIORAL SERVICES, INC
Location Address1626 CLARENCE CTWest Bend, WI 53095-8533
Mailing Address1626 Clarence CtWest Bend, WI 53095-8533 · (262) 338-8611 · Fax (262) 338-3367
Phone(262) 338-8611
Fax(262) 338-3367
Organization SubpartNo
Authorized OfficialKimberly A KunzDirector · (262) 338-8611
Enumeration DateDecember 2, 2011
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1043588254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 16431 - 130
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 16431 - 130 (WI)
1626 CLARENCE CT, West Bend, WI 53095
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Other Identifiers 1

Medicaid1568620466WI

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER RYAN SAC-IT
Counselor (Addiction (Substance Use Disorder))
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611
MOLLY CHRISTOFFERSON SAC-IT
Counselor (Addiction (Substance Use Disorder))
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611
MARIA MCDERMIT
Counselor (Professional)
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611
TRACY LYNN BARILANI SAC-IT
Counselor
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611
GREGORY STROUT SAC-IT
Counselor (Addiction (Substance Use Disorder))
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611
MS. LORI LYNN ROST CSAC
Counselor (Addiction (Substance Use Disorder))
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611
ARUN VASUDEV PARIKH MD
Psychiatry & Neurology (Psychiatry)
1626 CLARENCE CT, GENESIS BEHAVIORAL SERVICES
WEST BEND, WI 53095
Washington County (262) 338-8611
MR. JAMES FREDRICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
1626 CLARENCE CT
WEST BEND, WI 53095
Washington County (262) 338-8611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Behavioral Services, Inc's NPI number?

The NPI number for Genesis Behavioral Services, Inc is 1043588254. It was assigned to this organization in the NPPES registry on December 2, 2011.

Where is Genesis Behavioral Services, Inc located?

Genesis Behavioral Services, Inc is located at 1626 Clarence Ct, West Bend, WI 53095. The listed phone number is (262) 338-8611.

What is Genesis Behavioral Services, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Genesis Behavioral Services, Inc was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.