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Genesis Behavioral Services, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) in West Bend, WI · enumerated 2008 · authorized official Pauline Ortloff, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306004999

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Behavioral Services, Inc.
Parent organization Corizon Health, Inc.
Practice address 1626 Clarence Court, West Bend, WI, 53095
Fax (262) 338-3367
Enumeration date May 30, 2008
Last updated in NPPES Feb 4, 2014

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 1465 (WI) Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 1465 (WI) Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 1465 (WI) Primary

Authorized official

Name Pauline Ortloff
Title Executive Director

Other identifiers

Identifier Type State Issuer
42185921 Medicaid WI -
42185900 Medicaid WI -
42242221 Medicaid WI -
42186000 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Genesis Behavioral Services, Inc.?
NPPES lists Pauline Ortloff (Executive Director) as the authorized official for this organization.
What is the NPI number for Genesis Behavioral Services, Inc.?
The NPI for Genesis Behavioral Services, Inc. is 1306004999, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-04.