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GENESIS PROJECT 1, INC
NPI 1326187469
Counselor - Mental Health in Charlotte, NC

Active since February 05, 2007
5104 REAGAN DR STE 5, CHARLOTTE, NC 28206(704) 596-0505 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2020, May 1, 2019 (2 updates tracked since 2019).

About Genesis Project 1, Inc NPPES

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

GENESIS PROJECT 1, INC (NPI 1326187469) is a healthcare organization registered as a mental health in Charlotte, North Carolina and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Charlotte and lists Sylvia L. Grier, Manager, as its authorized official.

NPPES Registry Identity

NPI1326187469
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGENESIS PROJECT 1, INC
Location Address5104 REAGAN DR STE 5Charlotte, NC 28206-1392
Mailing AddressPo Box 560723Charlotte, NC 28256-0723 · (704) 596-0505 · Fax (704) 596-0507
Phone(704) 596-0505
Organization SubpartNo
Authorized OfficialSylvia L. GrierManager · (704) 596-0505
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1326187469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
5104 REAGAN DR STE 5, Charlotte, NC 28206
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Secondary Practice Location 1

Location 15108 Reagan Dr, Suite 14Charlotte, NC 28206-3103 · Phone (704) 596-0505 · Fax (704) 596-0507

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Project 1, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Genesis Project 1, Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Marcia Todd Thompson, LCSW
Clinical Social Worker
NPI 1619920055
1106 SCOTCH DR
Gastonia, NC 28054
(704) 674-6284
✔ PECOS✔ Accepts Medicare21 mi
Samantha Suffren, MD
Psychiatry
NPI 1356370027
612 MOCKSVILLE AVE
Salisbury, NC 28144
(704) 210-5061
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Project 1, Inc's NPI number?

The NPI number for Genesis Project 1, Inc is 1326187469. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Genesis Project 1, Inc located?

Genesis Project 1, Inc is located at 5104 Reagan Dr Ste 5, Charlotte, NC 28206. The listed phone number is (704) 596-0505.

What is Genesis Project 1, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Genesis Project 1, Inc enrolled in Medicare?

Yes. Genesis Project 1, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Project 1, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Genesis Project 1, Inc, in Clinical Social Worker and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesis Project 1, Inc accept?

Health plans from Cigna Healthcare list Genesis Project 1, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Project 1, Inc was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.