Organization Active NPI

Axis Counseling & Wellness PLLC

  • Professional Counselor
  • Tyler, TX
National Provider Identifier
1235094160
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AXIS COUNSELING & WELLNESS PLLC
Practice address
3334 S Southwest Loop 323 Ste 106
Tyler, TX 75701-9237
Phone
(903) 266-1030
Fax
(430) 205-8717
NPI assigned
Dec 23, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Mrs. Gwena Thomason, MED, LPCNPI 1861869307
Title
Owner
Phone
(903) 266-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3334 S Southwest Loop 323 Ste 106
Tyler, TX 75701-9237

Mailing address

3334 S Southwest Loop 323 Ste 106
Tyler, TX 75701-9237
Phone (903) 266-1030

Other identifiers 1

IdentifierTypeStateIssuer
3505273MedicaidTX

National Provider Directory

National Provider Directory

Locations

3334 S Southwest Loop 323
Ste 106
Tyler, TX 75701
Phone (903) 266-1030

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1235094160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 S SOUTHWEST LOOP 323 STE 106",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019237",
            "telephone_number": "903-266-1030",
            "fax_number": "430-205-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 S SOUTHWEST LOOP 323 STE 106",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019237",
            "telephone_number": "903-266-1030",
            "fax_number": "430-205-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "GWENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-266-1030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3505273",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.