MEDICARE: GENERATIONS COUNSELING SERVICES, LLC

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	101YP2500X	Professional Counselor	180.009611	IL
2	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1225476443	OTHER		NPI

General Provider Information

NPI Number	:	1821509126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATIONS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	200 BYRD WAY STE 155
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-5686
Country	:	US
Telephone Number	:	317-743-8202
Fax Number	:	317-743-8276

Provider Business Practice Location Address
First Line	:	200 BYRD WAY STE 155
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-5686
Country	:	US
Telephone Number	:	317-743-8202
Fax Number	:	317-743-8276

Authorized Official
Title or Position	:	OWNER
Name	:	JOANNA E BLOSS
Credential	:	LMHC
Telephone Number	:	317-743-8202

Provider Enumeration Date	:	10/13/2017
Last Update Date	:	02/16/2026

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Directions to “GENERATIONS COUNSELING SERVICES, LLC ” Practice Location

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