Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis Clincal Services

Organization Counselor · NPI 1801473939

Genesis Clincal Services is a Counselor in Charlotte, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
12
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Practice location Address checks out

7400 Carmel Executive Park Dr Ste 135
Charlotte, NC 28226-8400
Phone: (704) 464-4910
Fax: (704) 230-0856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Counselor Taxonomy 101Y00000X
Clinical Neuropsychologist Taxonomy 103G00000X
Psychologist Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Family Psychologist Taxonomy 103TF0000X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X
Psychoanalysis Psychologist Taxonomy 103TP0814X
School Psychologist Taxonomy 103TS0200X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1801473939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Kraska — Owner, Clinical Psychologist · (704) 464-4910
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400

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