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

Antonia J Genisio, LCPC

Individual provider Professional Counselor · NPI 1245961606

Antonia J Genisio, LCPC is a Mental Health Counselor in Jacksonville, Illinois. Qualified in 2022, 4 years ago. Practices with Memorial Physician Services, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

15 Founders Ln Ste 100
Jacksonville, IL 62650-3924
Phone: (217) 243-0300
Fax: (217) 245-6775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180016629 (IL)

Record details

NPI number1245961606
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJune 17, 2022
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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