Genesis Behavioral Services, Inc.
Genesis Behavioral Services, Inc. is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in West Bend, WI, holding Type 2 (organization) NPI 1306004999 since 2008. The authorized official on file is Pauline Ortloff, Executive Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1306004999 |
|---|---|
| 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 |
| Phone | 2623388611 |
| Fax | 2623383367 |
| Enumeration date | 2008-05-30 |
| Last updated in NPPES | 2014-02-04 |
Authorized official
| Name | Pauline Ortloff |
|---|---|
| Title | Executive Director |
| Phone | 4147771570 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | 1465 | WI |
| 101YM0800X | Mental Health Counselor | Secondary | 1465 | WI |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | 1465 | WI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42185921 | Medicaid | WI | — |
| 42185900 | Medicaid | WI | — |
| 42242221 | Medicaid | WI | — |
| 42186000 | Medicaid | WI | — |
Copy-ready billing details
Provider: Genesis Behavioral Services, Inc. NPI: 1306004999 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 1626 CLARENCE COURT, West Bend, WI, 53095
Verify this record
Cross-check NPI 1306004999 against the authoritative CMS record: view Genesis Behavioral Services, Inc. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Genesis Behavioral Services, Inc.?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-02-04.