DBA GENESIS EAP
NPI 1780898809
Counselor - Mental Health in Davenport, IA

NPI Status: Active since May 09, 2007

Contact Information

430 W 35TH ST
DAVENPORT, IA
ZIP 52806
Phone: (563) 386-4004
Fax: (563) 386-4026

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  • Organization
  • Counselor
  • Mental Health
  • CLIA Number: 16D0387978
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-11-2027

About DBA GENESIS EAP

This page provides the complete NPI Profile along with additional information for Dba Genesis Eap, a provider established in Davenport, Iowa operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1780898809 assigned on May 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Dba Genesis Eap operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Dba Genesis Eap. The authorized official of this NPI record is Mr. Mark J. Kleinschmidt (Vice President Finance)

NPI
1780898809
Provider Legal Name
GENESIS HEALTH SYSTEM
Other Organization Name
DBA GENESIS EAP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
430 W 35TH ST DAVENPORT, IA 52806
Location Phone
(563) 386-4004
Location Fax
(563) 386-4026
Mailing Address
430 W 35TH ST DAVENPORT, IA 52806
Mailing Phone
(563) 386-4004
Mailing Fax
(563) 386-4026
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-09-2007
Last Update Date
08-22-2020
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A mental health counselor like Dba Genesis Eap provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK J. KLEINSCHMIDT

Authorized Official Title
VICE PRESIDENT FINANCE
Authorized Official Phone
(563) 421-6513

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0387978
Facility Type
Physician Office
Certificate Effective Date
March 12, 2025
Certificate Expiration Date
March 11, 2027
Laboratory Director
GAUTAM KEKREJA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dba Genesis Eap to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780898809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601691680
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 9 + 1 + 6 + 8 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1780898809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801861653DR. JAMES DW HOGG D.C.
Individual
Chiropractor430 W 35TH ST
DAVENPORT, IA 52806
(563) 386-9494
1477601680DAVENPORT HEARING AID CENTER, INC
Organization
Audiologist430 W 35TH ST
DAVENPORT, IA 52806
(563) 386-8885
1487788592HOGG CHIROPRACTIC CENTER
Organization
Chiropractor430 W 35TH ST
DAVENPORT, IA 52806
(563) 386-9494
1598947616DAVID WARREN SCHROEDER
Organization
Podiatrist430 W 35TH ST
DAVENPORT, IA 52806
(563) 391-2889
1063651834DR. MICHEAL CHARLES HARTMAN AU.D
Individual
Audiologist430 W 35TH ST SUITE 2
DAVENPORT, IA 52806
(563) 386-8885
1558602342HOGG CHIROPRACTIC CENTER PLLC
Organization
Chiropractor430 W 35TH ST
DAVENPORT, IA 52806
(563) 386-9494
1730552951DR. STEPHEN ROBERT HARWARD DC
Individual
Chiropractor430 W 35TH ST SUITE 1
DAVENPORT, IA 52806
(563) 386-9494
1023450145DR. ELIZABETH MARIE JACOBSEN D.P.M.
Individual
Podiatrist430 W 35TH ST
DAVENPORT, IA 52806
(563) 391-2889

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780898809, enumerated in the NPI registry as an "organization" on May 09, 2007

The provider is located at 430 W 35th St Davenport, Ia 52806 and the phone number is (563) 386-4004

This medical organization specializes in Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider's CLIA number is 16D0387978 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.