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Active NPI 1659057370 Individual Practitioner Female Practitioner

Genesis Roque , MS, LAPC

Counselor - Professional • Hazleton, PA

Professional Overview & Biography Verified Profile Summary

Genesis Roque, MS, LAPC is a registered healthcare professional specializing in Counselor - Professional in Hazleton, PA. Practice services are available at 750 E BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

750 E Broad St

Hazleton, PA 182016835

Telephone 5704556385
Associated Practice Facility / Clinic
🏢 Northeast Counseling Services Facility NPI 1366445082

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Hazleton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Hazleton, PA (9514 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License PA APC000752

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Matthew Walter , LPC

Counselor - Professional

NPI 1083824809

Licensed Professional Counselor

Dr. Patalam Sriharsha , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1154377562

Doctor of Medicine (M.D.)

Theresa Boyle , LSW

Social Worker

NPI 1164624771

Licensed Social Worker

Dorothy Perillo , PA-C

Physician Assistant

NPI 1447336599

Physician Assistant (Certified)

Linda Chismar , LSW

Social Worker

NPI 1457486508

Licensed Social Worker

Victoria Woodward , LPC

Counselor - Mental Health

NPI 1558571281

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location March 16, 2026

Registered at 750 E BROAD ST, HAZLETON, PA 182016835 (Tel: 5704556385)

📍
Updated Business Mailing Address March 16, 2026

Registered at 4 RITTENHOUSE PL, DRUMS, PA 182222744

📍
Updated Practice Location March 25, 2025

Registered at 706 BLOOM RD, DANVILLE, PA 178211367 (Tel: 5702594388)

📍
Updated Business Mailing Address March 25, 2025

Registered at 706 BLOOM RD, DANVILLE, PA 178211367 (Tel: 5702594388)

👤
Provider Name / Credentials Updated March 25, 2025

Recorded as GENESIS ROQUE, MS, LAPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2025

Counselor (License #APC000752 in PA)

NPI Profile Active June 27, 2023

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address June 27, 2023

Registered at 307 LAIRD ST, WILKES BARRE, PA 187026915

📍
Updated Practice Location June 27, 2023

Registered at 307 LAIRD ST, WILKES BARRE, PA 187026915 (Tel: 5704097880)

👤
Provider Name / Credentials Updated June 27, 2023

Recorded as GENESIS ROQUE, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2023

Counselor

🟢
Initial NPI Registration & Enumeration June 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659057370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2023
Last Update: March 16, 2026
Sole Proprietor: Yes

Mailing Address

4 Rittenhouse Pl

Drums, PA 182222744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.