Axis I Professional Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00387400 Issued in NJ

Legal business name

AXIS I PROFESSIONAL SERVICES, LLC

Practice address

101 Route 130 S
Ste #325
Cinnaminson, NJ 08077-2845

Phone

(866) 519-3401

Fax

(866) 288-5024

NPI assigned

Apr 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Helen V Hicks, MA, LPC

Title

Owner

Phone

(609) 238-5120

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1235526872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S",
            "address_2": "STE #325",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "866-519-3401",
            "fax_number": "866-288-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROUTE 130 S",
            "address_2": "STE #325",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772845",
            "telephone_number": "866-519-3401",
            "fax_number": "866-288-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS I PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-238-5120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00387400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.