MEDICARE: GENESIS COUNSELING SERVICES LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730273483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS COUNSELING SERVICES LTD.

Provider Business Mailing Address
First Line	:	PO BOX 8010
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53547-8010
Country	:	US
Telephone Number	:	608-757-0404
Fax Number	:	608-757-2319

Provider Business Practice Location Address
First Line	:	1 S MAIN ST
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53547-8010
Country	:	US
Telephone Number	:	608-757-0404
Fax Number	:	608-757-2319

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TIFFANY STRODTHOFF
Credential	:	LPC, CSAC
Telephone Number	:	608-757-0404

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/13/2025

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Practice Location Address:

1 SOUTH MAIN C/O GENESIS COUNSELING SERVICES
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53547-8010

Practice Phone: 608-757-0404
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Practice Location Address:

3418 NORTH COUNTY TRUNK HIGHWAY , ROCK HAVEN
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Practice Phone: 608-757-5000
Practice Fax: 608-757-5026

1275693178 — COUNTY OF ROCK
Practice Location Address:

3530 N CTY TRK F
JANESVILLE, WI
53547-0726

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1265579304 — TRACY A. MAYER L.C.S.W.
Practice Location Address:

3530 N. COUNTY TRUNK HIGHWAY F
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1770777898 — CATHERINE SAMB LPC
Practice Location Address:

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