Your Genx Therapist LLC
NPI 1669211082ActiveOrganization· Counselor, Mental Health· Janesville, WI
Counselor, Mental Health in Janesville, Wisconsin, registered in NPPES in May 2024. The authorized official on file is Theresa Douglas, MS, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669211082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2024 |
| Last updated in NPPES | Mar 10, 2026 |
| Certified by provider | Mar 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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