OrganizationActive
Genesis Counseling Center
NPI 1194128066 · Community/Behavioral Health Agency · Fort Myers, FL
Provider details
- NPI number
- 1194128066
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ethan Martin, Licensed Mental Health Counselor(239) 849-6813
- License
- 12248 (FL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8359 Beacon Blvd Ste 200
Fort Myers, FL 33907-3065
Phone: (239) 849-6813
Street-level locationGet directions
Mailing address
8359 Beacon Blvd Ste 200
Fort Myers, FL 33907-3065
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2014-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.