| Genesis Behavioral Health | |
|
40 Beacon St E Laconia NH 03246-3437 | |
| (603) 524-1100 | |
| (603) 527-8113 |
| Full Name | Genesis Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Beacon St E, Laconia, New Hampshire |
| Authorized Official Name and Position | Cheryl Ferren (DIRECTOR REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6035241100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Behavioral Health 40 Beacon St E Laconia NH 03246-3437 Ph: (603) 524-1100 | Genesis Behavioral Health 40 Beacon St E Laconia NH 03246-3437 Ph: (603) 524-1100 |
| NPI Number | 1902994866 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Medicare PECOS PAC ID | 7911957964 |
|---|---|
| Medicare Enrollment ID | O20050127000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902994866 | NPI | - | NPPES |
| LAKE663566 | Other | NH | ANTHEM |
| 3076838 | Medicaid | NH |
| Provider Name | Vladimir Jelnov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801089115 PECOS PAC ID: 9234226028 Enrollment ID: I20100212000279 |
| Provider Name | Mark W Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508974544 PECOS PAC ID: 5890975650 Enrollment ID: I20141021000511 |
| Provider Name | Nancy A Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281454 PECOS PAC ID: 2365745015 Enrollment ID: I20160129001289 |
| Provider Name | Chelsea D Lemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063762664 PECOS PAC ID: 5294033262 Enrollment ID: I20160408000306 |
| Provider Name | Christopher Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609237577 PECOS PAC ID: 3274870969 Enrollment ID: I20190204002741 |
| Provider Name | Tami L Hayhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773890 PECOS PAC ID: 5991033888 Enrollment ID: I20190830001646 |
| Provider Name | Daniel Ventola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578044822 PECOS PAC ID: 6608287099 Enrollment ID: I20201116000263 |
| Provider Name | Jayme Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801377924 PECOS PAC ID: 9335548502 Enrollment ID: I20210520002849 |
| Provider Name | Nadia E Harrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831865898 PECOS PAC ID: 1557767654 Enrollment ID: I20210914002941 |
| Provider Name | Hallick J Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821764952 PECOS PAC ID: 9032516794 Enrollment ID: I20210922001964 |
| Provider Name | Alicia J Pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460807 PECOS PAC ID: 2163829474 Enrollment ID: I20210928003231 |
| Provider Name | Julia Lanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538809256 PECOS PAC ID: 0345625760 Enrollment ID: I20220920003166 |
| Provider Name | Marisa Nardello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144701251 PECOS PAC ID: 1759741259 Enrollment ID: I20230715000191 |
| Provider Name | Sarah Chickering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881175909 PECOS PAC ID: 3870956303 Enrollment ID: I20230830002896 |
| Provider Name | Jamison V Tooley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144952813 PECOS PAC ID: 8527410638 Enrollment ID: I20240113000363 |
| Provider Name | Hope Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497000806 PECOS PAC ID: 2769834829 Enrollment ID: I20240115000871 |
| Provider Name | Laura Sausville |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518205905 PECOS PAC ID: 7618329889 Enrollment ID: I20240124000100 |
| Provider Name | Jessica Kangas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437437530 PECOS PAC ID: 8022460211 Enrollment ID: I20240124000520 |
| Provider Name | Alison K O'neill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710017082 PECOS PAC ID: 5496108086 Enrollment ID: I20240131000459 |
| Provider Name | Sara Bresslin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205617206 PECOS PAC ID: 0547613077 Enrollment ID: I20240131001981 |
| Provider Name | Kristen M Grant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215598503 PECOS PAC ID: 1658724158 Enrollment ID: I20240131004546 |
| Provider Name | Kimberly Goldberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831558683 PECOS PAC ID: 4385087089 Enrollment ID: I20240209001790 |
| Provider Name | Sarah H Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043084577 PECOS PAC ID: 6709229180 Enrollment ID: I20240213003146 |
Granite State Geriatrics Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Main St Ste 303, Laconia, NH 03246 Phone: 603-409-0735 Fax: 877-919-0640 | |
Concord Hospital-laconia Professional Billing Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 85 Spring St, Laconia, NH 03246 Phone: 603-524-3211 | |
Concord Hospital Psychiatric Unit-laconia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 | |
Lifeworks Counseling Associates, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 35 Academy St, Laconia, NH 03246 Phone: 603-556-4360 | |
Open View Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 783 Elm St Unit 4, Laconia, NH 03246 Phone: 415-971-9561 | |
Downetown Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Mill Plz, Laconia, NH 03246 Phone: 603-945-4561 | |
Gray Matters Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Union Ave, Laconia, NH 03246 Phone: 603-260-1101 |