Axia Behavioral Group, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

AXIA BEHAVIORAL GROUP, LLC

Practice address

3840 Ridgeway Dr
Homewood, AL 35209-5506

Phone

(205) 913-7910

NPI assigned

May 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Ford, PHDNPI 1053866574

Title

Managing Member

Phone

(205) 913-7910

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Blake Ford

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1053866574
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1043955032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 CHELSEA STATION CIR",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350433081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 RIDGEWAY DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-913-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIA BEHAVIORAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "205-913-7910",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Nelson Ashurst Jr., DPT
• Jennifer Anne Ault, OTR/L
• Austin C. Powell, D.M.D., LLC
• Authentic Life Counseling, LLC
• Megyn Avedisian, MS, ALC
• Sarah Smith Bagwell, MD
• Michelle Bajjalieh, DMD
• Blake Hilton Baker, PHARMD
• Stanley J Bara III, D.C.
• Denise Renee Barefield Pendleton, MD

• Psychologist in Homewood, AL
• Providers in Homewood, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.