GENESIS BEHAVIORAL SERVICES, INC.
NPI 1306004999
Clinic/Center - Mental Health (Including Community Mental Health Center) in West Bend, WI

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

The NPI number for Genesis Behavioral Services, Inc. is 1306004999. It was assigned to this organization in the NPPES registry on May 30, 2008.

Q: What is Genesis Behavioral Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 30, 2008

1626 CLARENCE COURT, WEST BEND, WI 53095(262) 338-8611(262) 338-3367 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Genesis Behavioral Services, Inc. NPPES

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

GENESIS BEHAVIORAL SERVICES, INC. (NPI 1306004999) is a healthcare organization registered as a mental health (including community mental health center) in West Bend, Wisconsin and active in the NPI registry since May 2008. The organization lists Pauline Ortloff, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306004999

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameGENESIS BEHAVIORAL SERVICES, INC.

Location Address1626 CLARENCE COURTWest Bend, WI 53095

Mailing Address12647 Olive Blvd, Attn: Accts. ReceiveableSaint Louis, MO 63141-6393 · (414) 777-1570 · Fax (414) 777-1565

Phone(262) 338-8611

Fax(262) 338-3367

Organization SubpartYesParent: Corizon Health, Inc.

Authorized OfficialPauline OrtloffExecutive Director · (414) 777-1570

Enumeration DateMay 30, 2008

Last NPPES UpdateFebruary 4, 2014

✔ NPI 1306004999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in WI · 1465

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1465 (WI)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1465 (WI)

1626 CLARENCE COURT, West Bend, WI 53095

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Other Identifiers 4

Medicaid42242221WI

Medicaid42185900WI

Medicaid42185921WI

Medicaid42186000WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1306004999. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Genesis Behavioral Services, Inc. located?

Genesis Behavioral Services, Inc. is located at 1626 Clarence Court, 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 Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Genesis Behavioral Services, Inc. was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.