Axis Behavioral Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AXIS BEHAVIORAL HEALTH LLC

Practice address

24 Shady Brook Dr
West Hartford, CT 06107-2654

Phone

(203) 451-0850

NPI assigned

Dec 29, 2021

Last updated

Dec 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Benitez, LCSWNPI 1548868904

Title

Owner / Therapist

Phone

(203) 451-0850

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, and the practitioner matching its NPPES authorized official.

• Courtney L Benitez

  • Social Worker
  • Manchester, CT
  • NPI 1548868904
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1093475287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SHADY BROOK DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072654",
            "telephone_number": "203-451-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SHADY BROOK DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072654",
            "telephone_number": "203-451-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "203-451-0850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Atkinson
• Thomas Richardson Atwood, PT
• Melissa Aubin, PHARMD
• Duane F Austin, M.D.
• Authentic Therapy Co
• Kareem Ayodeji
• Deena Babigian, APRN
• Olivia Alice Bacha, LMSW
• Christopher Ryan Bachand
• Karen E Bachman, MSW

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.