Healthcare Provider Details

I. General information

NPI: 1922965979
Provider Name (Legal Business Name): GENESIS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 NE WOODS CHAPEL RD
LEES SUMMIT MO
64064-1900
US

IV. Provider business mailing address

605 NE WOODS CHAPEL RD
LEES SUMMIT MO
64064-1900
US

V. Phone/Fax

Practice location:
  • Phone: 816-272-0653
  • Fax:
Mailing address:
  • Phone: 816-272-0653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NAOMI THOMPSON
Title or Position: PRACTICE MANAGER
Credential:
Phone: 816-272-0653