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

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: July 19, 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 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

What is GENESIS BEHAVIORAL SERVICES, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1306004999, enumerated as an "organization" on May 30, 2008.

Where is the provider located?

The provider is located at 1626 CLARENCE COURT WEST BEND, WI 53095 and the phone number is (262) 338-8611.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

What insurance does GENESIS BEHAVIORAL SERVICES, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.