ANTONIA J GENISIO LCPC
NPI 1245961606
Counselor - Professional in Jacksonville, IL

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
15 FOUNDERS LN STE 100, JACKSONVILLE, IL 62650(217) 243-0300(217) 245-6775 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2024, Nov 22, 2024, Apr 26, 2024 and 1 more (4 updates tracked since 2022).

About Antonia J Genisio Lcpc NPPES

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

ANTONIA J GENISIO LCPC (NPI 1245961606) is an individual professional provider in Jacksonville, Illinois, licensed in Illinois (180016629) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245961606
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANTONIA J GENISIOCredential: LCPC
Location Address15 FOUNDERS LN STE 100Jacksonville, IL 62650-3924
Mailing Address15 Founders Ln Ste 100Jacksonville, IL 62650-3924 · (217) 243-0300 · Fax (217) 245-6775
Fax(217) 245-6775
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1245961606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180016629
15 FOUNDERS LN STE 100, Jacksonville, IL 62650

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Antonia J Genisio Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618404930
PECOS Enrollment IDI20241227002384
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Nurse Practitioner (Pediatrics)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Internal Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Family Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Family Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Nurse Practitioner (Family)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Internal Medicine
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650
Physician Assistant (Medical)
15 FOUNDERS LN STE 100
JACKSONVILLE, IL 62650

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 Antonia Genisio's NPI number?

The NPI number for Antonia Genisio is 1245961606. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Antonia Genisio located?

Antonia Genisio practices at 15 Founders Ln Ste 100, Jacksonville, IL 62650. The listed phone number is (217) 243-0300.

What is Antonia Genisio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Antonia Genisio enrolled in Medicare?

Yes. Antonia Genisio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Antonia Genisio was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.