| Genesee Health System | |
|
420 W 5th Ave Flint MI 48503-2445 | |
| (810) 257-3736 | |
| (810) 257-3785 |
| Full Name | Genesee Health System |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 420 W 5th Ave, Flint, Michigan |
| Authorized Official Name and Position | Amy Marsh (BILLING CLERK) |
| Authorized Official Contact | 8102573736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesee Health System 420 W 5th Ave Flint MI 48503-2445 Ph: (810) 257-3736 | Genesee Health System 420 W 5th Ave Flint MI 48503-2445 Ph: (810) 257-3736 |
| NPI Number | 1043554348 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Medicare PECOS PAC ID | 6002051091 |
|---|---|
| Medicare Enrollment ID | O20130321000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043554348 | NPI | - | NPPES |
| Provider Name | Kelly Lynn Gardiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447294970 PECOS PAC ID: 9931090933 Enrollment ID: I20040325000041 |
| Provider Name | Anthony R Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497805014 PECOS PAC ID: 5092700716 Enrollment ID: I20040420000685 |
| Provider Name | Kandice K Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679609002 PECOS PAC ID: 5890755763 Enrollment ID: I20041014000842 |
| Provider Name | Bridgette M Cavette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750578209 PECOS PAC ID: 0941265003 Enrollment ID: I20041130000922 |
| Provider Name | Cynthia Ann Montney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831534544 PECOS PAC ID: 9133179468 Enrollment ID: I20050125000578 |
| Provider Name | Katherine R Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992732176 PECOS PAC ID: 3577561166 Enrollment ID: I20061114000536 |
| Provider Name | Julie A Murphy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548297948 PECOS PAC ID: 1850390758 Enrollment ID: I20061204000038 |
| Provider Name | Maria Carolina Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013928860 PECOS PAC ID: 9830191311 Enrollment ID: I20070213000320 |
| Provider Name | Francesca M Petrilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952354631 PECOS PAC ID: 1658371653 Enrollment ID: I20070502000135 |
| Provider Name | Son H Phung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174550172 PECOS PAC ID: 8921193491 Enrollment ID: I20070927001026 |
| Provider Name | Heather A Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053579318 PECOS PAC ID: 8426118878 Enrollment ID: I20081115000148 |
| Provider Name | Mark M Kanzawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982617288 PECOS PAC ID: 1254495344 Enrollment ID: I20090204000691 |
| Provider Name | Gail L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902044308 PECOS PAC ID: 6608927082 Enrollment ID: I20090624000581 |
| Provider Name | Michelle A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861618217 PECOS PAC ID: 4981745668 Enrollment ID: I20091231000360 |
| Provider Name | Todd N Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295763407 PECOS PAC ID: 2860534732 Enrollment ID: I20100115000486 |
| Provider Name | Diane L Hallinen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356439582 PECOS PAC ID: 8628267937 Enrollment ID: I20110118000469 |
| Provider Name | Paula M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235439142 PECOS PAC ID: 3173705464 Enrollment ID: I20110308000481 |
| Provider Name | Jon R Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033473749 PECOS PAC ID: 9638326705 Enrollment ID: I20120823000875 |
| Provider Name | Kerrie L Bruckner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588951230 PECOS PAC ID: 9234388968 Enrollment ID: I20121012000341 |
| Provider Name | James Hogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760710164 PECOS PAC ID: 3779734884 Enrollment ID: I20121120000390 |
| Provider Name | Lindsey A Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662262 PECOS PAC ID: 2264684026 Enrollment ID: I20121201000067 |
| Provider Name | Renee Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518221985 PECOS PAC ID: 5395998991 Enrollment ID: I20130110000062 |
| Provider Name | Victoria L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801185392 PECOS PAC ID: 5991959652 Enrollment ID: I20130204000534 |
| Provider Name | Katherine M Burrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477830982 PECOS PAC ID: 4284863135 Enrollment ID: I20140219000176 |
| Provider Name | David Pyatt |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1083660641 PECOS PAC ID: 8527281906 Enrollment ID: I20140604000564 |
| Provider Name | Kelly L Palmer-albin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538421730 PECOS PAC ID: 1254558869 Enrollment ID: I20140805002091 |
| Provider Name | Kyndra J Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871881185 PECOS PAC ID: 8820217169 Enrollment ID: I20140918000325 |
| Provider Name | Erin Michelle Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053726307 PECOS PAC ID: 0840410684 Enrollment ID: I20140930001241 |
| Provider Name | Laura Enos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700094182 PECOS PAC ID: 5698097616 Enrollment ID: I20141202002340 |
| Provider Name | Kelsey E Ellis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366849374 PECOS PAC ID: 7618290701 Enrollment ID: I20141222000795 |
| Provider Name | Erin E Ferme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255665253 PECOS PAC ID: 8325361231 Enrollment ID: I20141230000635 |
| Provider Name | Adijat Ogunyemi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093051153 PECOS PAC ID: 3375862279 Enrollment ID: I20150427001344 |
| Provider Name | Albert Ujkaj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053700328 PECOS PAC ID: 6002127644 Enrollment ID: I20150623001489 |
| Provider Name | Benjamin Salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366798365 PECOS PAC ID: 9830489970 Enrollment ID: I20160602001090 |
| Provider Name | Sarah Katherine Haan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619283835 PECOS PAC ID: 8426334129 Enrollment ID: I20170412001171 |
| Provider Name | Rachael Elizabeth Compeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427587120 PECOS PAC ID: 9335411131 Enrollment ID: I20170814001926 |
| Provider Name | Blair N Grose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609390335 PECOS PAC ID: 8820346984 Enrollment ID: I20180806001826 |
| Provider Name | Marci Marie Colyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548752314 PECOS PAC ID: 6002150653 Enrollment ID: I20181207001741 |
| Provider Name | Hannah H Arion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972073757 PECOS PAC ID: 3870838600 Enrollment ID: I20181221001705 |
| Provider Name | Judith Elaine Wilcox |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437352846 PECOS PAC ID: 8224929369 Enrollment ID: I20190510000168 |
| Provider Name | Octavia C Amerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437524634 PECOS PAC ID: 6901149046 Enrollment ID: I20190514000108 |
| Provider Name | Joseph Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194276287 PECOS PAC ID: 2860735156 Enrollment ID: I20190530002119 |
| Provider Name | Stefanie Ann Sabin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629320684 PECOS PAC ID: 1052640133 Enrollment ID: I20190916001437 |
| Provider Name | Karen L Palomares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104307131 PECOS PAC ID: 6608289731 Enrollment ID: I20210111002046 |
| Provider Name | Jessica Short-slack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023489770 PECOS PAC ID: 6901214956 Enrollment ID: I20210421000297 |
| Provider Name | Zaid Baha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447604608 PECOS PAC ID: 0749680569 Enrollment ID: I20210616002113 |
| Provider Name | Marcie Renee Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184142846 PECOS PAC ID: 0042612335 Enrollment ID: I20210708003013 |
| Provider Name | Deborah Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436999 PECOS PAC ID: 6800293382 Enrollment ID: I20210927000922 |
| Provider Name | Jori A Reigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598367476 PECOS PAC ID: 7113317488 Enrollment ID: I20211130001335 |
| Provider Name | Laquadra E. Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104264209 PECOS PAC ID: 6406247956 Enrollment ID: I20211217000512 |
| Provider Name | Ashish K Rungta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464599 PECOS PAC ID: 1052623238 Enrollment ID: I20211220001291 |
| Provider Name | Rebecca Jean Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972936938 PECOS PAC ID: 0547646754 Enrollment ID: I20220926001120 |
| Provider Name | Julie Antoinette Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477281152 PECOS PAC ID: 5092191353 Enrollment ID: I20221011000203 |
| Provider Name | Audrey Verniece Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487682332 PECOS PAC ID: 1759757685 Enrollment ID: I20221018003066 |
| Provider Name | Ebony Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134590193 PECOS PAC ID: 2769859834 Enrollment ID: I20221102000650 |
| Provider Name | Timothy Paul Bedell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952041329 PECOS PAC ID: 4880062686 Enrollment ID: I20221129002263 |
| Provider Name | Angela Curts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558936054 PECOS PAC ID: 3375913015 Enrollment ID: I20221221001956 |
| Provider Name | Paula Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619120755 PECOS PAC ID: 5698831519 Enrollment ID: I20221228002227 |
| Provider Name | June Nguyen Westdal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124634639 PECOS PAC ID: 1355712688 Enrollment ID: I20230125001696 |
| Provider Name | Ashton Hoose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952839078 PECOS PAC ID: 6800267139 Enrollment ID: I20230125001726 |
| Provider Name | Ashley Batsios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942757406 PECOS PAC ID: 8123490059 Enrollment ID: I20230202001206 |
| Provider Name | Keran Eudora Ernest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811274723 PECOS PAC ID: 6800268269 Enrollment ID: I20230211000294 |
| Provider Name | Tracy Jewell Spencer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356608970 PECOS PAC ID: 3577935931 Enrollment ID: I20230211000526 |
| Provider Name | Melissa Healey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043617814 PECOS PAC ID: 4385017193 Enrollment ID: I20230227000248 |
| Provider Name | Michelle Lee Mckown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124596226 PECOS PAC ID: 2163895251 Enrollment ID: I20230311000082 |
| Provider Name | Alyssa Krystine Anton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679076111 PECOS PAC ID: 4789058413 Enrollment ID: I20230321001406 |
| Provider Name | Angela Bavar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417470907 PECOS PAC ID: 9133593734 Enrollment ID: I20230322001548 |
| Provider Name | April Hitchcock-fofana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427496470 PECOS PAC ID: 4789058256 Enrollment ID: I20230323002340 |
| Provider Name | Jennifer Kimmel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962817031 PECOS PAC ID: 6204293905 Enrollment ID: I20230612003044 |
| Provider Name | Heather Diane Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609358993 PECOS PAC ID: 3870952492 Enrollment ID: I20230629002885 |
| Provider Name | Jennifer Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912568528 PECOS PAC ID: 6507226008 Enrollment ID: I20230715000445 |
| Provider Name | Emma Behr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174974984 PECOS PAC ID: 9234590159 Enrollment ID: I20230725002343 |
| Provider Name | Lesley Pawluk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043744923 PECOS PAC ID: 9133580855 Enrollment ID: I20230727003529 |
| Provider Name | Brian Robert Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154627495 PECOS PAC ID: 5799146445 Enrollment ID: I20230728000238 |
| Provider Name | Mary Lou Louise Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194296574 PECOS PAC ID: 9133581275 Enrollment ID: I20230822000395 |
| Provider Name | Amy M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851722888 PECOS PAC ID: 3072976976 Enrollment ID: I20230824003550 |
| Provider Name | Lisa Mckernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134532120 PECOS PAC ID: 9335502145 Enrollment ID: I20230828000787 |
| Provider Name | Rebecca Hammett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427546886 PECOS PAC ID: 3870940240 Enrollment ID: I20231106003590 |
| Provider Name | Sara Lynne Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871961458 PECOS PAC ID: 1052768082 Enrollment ID: I20231113000851 |
| Provider Name | Lance W Hays |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568125219 PECOS PAC ID: 3072962927 Enrollment ID: I20231218001920 |
| Provider Name | Shana Adkison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851506562 PECOS PAC ID: 1850741323 Enrollment ID: I20231223000426 |
| Provider Name | April Lynn Sarasin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619308848 PECOS PAC ID: 5698151488 Enrollment ID: I20240110000798 |
| Provider Name | Carrie Corlew-thayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275767600 PECOS PAC ID: 6901257369 Enrollment ID: I20240110001302 |
| Provider Name | Therese Zajaros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710382015 PECOS PAC ID: 7719339464 Enrollment ID: I20240117004575 |
| Provider Name | Hudson Riehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538605134 PECOS PAC ID: 3375827785 Enrollment ID: I20240315002645 |
Oasis Counseling Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4119 N Saginaw St, Suite 107, Flint, MI 48505 Phone: 810-336-8931 | |
Genesee County Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 University Ave, Flint, MI 48504 Phone: 810-238-0475 Fax: 810-238-9270 | |
Flint Odyssey House, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Martin Luther King Ave, Flint, MI 48503 Phone: 810-238-5888 | |
Qrs Family Wellness Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2503 S Linden Rd Ste 190a, Flint, MI 48532 Phone: 810-370-0409 | |
Neurology Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: G3239 Beecher Rd, Suite C, Flint, MI 48532 Phone: 810-230-2491 Fax: 810-732-4344 | |
Jamail Psychological Clinic Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Beach St, Flint, MI 48502 Phone: 810-767-4114 Fax: 810-767-4429 | |
Felipe Videla Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: G5154 Miller Rd, Suite Cn, Flint, MI 48507 Phone: 810-733-0710 Fax: 810-733-0715 |