ROSALIE GENOVA, LCPC, CCS
NPI 1134837222
Clinic/Center - Adult Mental Health in Portland, ME

Active since November 08, 2022
1250 FOREST AVE, PORTLAND WELLNESS COOPERATIVE, UNIT 14, SUITE 7, PORTLAND, ME 04103(207) 200-3789 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rosalie Genova, Lcpc, Ccs NPPES

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

ROSALIE GENOVA, LCPC, CCS (NPI 1134837222) is a healthcare organization registered as an adult mental health in Portland, Maine and active in the NPI registry since November 2022. The organization lists Rosalie Genova, Owner, as its authorized official.

NPPES Registry Identity

NPI1134837222
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameROSALIE GENOVA, LCPC, CCS
Location Address1250 FOREST AVE, PORTLAND WELLNESS COOPERATIVE, UNIT 14, SUITE 7Portland, ME 04103
Mailing Address1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7Portland, ME 04103
Organization SubpartNo
Authorized OfficialRosalie GenovaOwner · (207) 200-3789
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 4, 2022
NPI 1134837222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1250 FOREST AVE, Portland, ME 04103

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1250 FOREST AVE
PORTLAND, ME 04103
Counselor (Addiction (Substance Use Disorder))
1250 FOREST AVE
PORTLAND, ME 04103
Audiologist
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Counselor (Mental Health)
1250 FOREST AVE, SUITE 201
PORTLAND, ME 04103
Physician Assistant (Surgical)
1250 FOREST AVE
PORTLAND, ME 04103
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Nurse Practitioner (Family)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1250 FOREST AVE, SUITE 301
PORTLAND, ME 04103

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 Rosalie Genova, Lcpc, Ccs's NPI number?

The NPI number for Rosalie Genova, Lcpc, Ccs is 1134837222. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Rosalie Genova, Lcpc, Ccs located?

Rosalie Genova, Lcpc, Ccs is located at 1250 Forest Ave Portland Wellness Cooperative, Unit 14, Suite 7, Portland, ME 04103. The listed phone number is (207) 200-3789.

What is Rosalie Genova, Lcpc, Ccs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Rosalie Genova, Lcpc, Ccs was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.