Axess Family Services Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Kent, OH
NPI 1376796862 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1376796862
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- AXESS FAMILY SERVICES INC
- Practice address
- 143 Gougler Ave
Kent, OH 44240-2401 - Phone
- (330) 673-1016
- NPI assigned
- Oct 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Mark Frisone
- Title
- Executive Director
- Phone
- (800) 975-9188
Owners & managing parties with NPI records 3
-
Iesha Shanae Bell, DNP
-
Edward Demond Scott, M.D.
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 38
Related certifications (CCN) 1
Practitioners 45
-
David J. Dawson, O.D.
-
Rebecca Dawn Eiwen, M.D.
-
Taryn R. Burhanna, NP-C
-
Karen Marie Buyansky, LISW-S
-
David John Comko, LPCC-S, LICDC-CS
-
Angela Jane Dejulius, M.D.
-
Vikil Kumar Girdhar, M.D.
-
Crystal Jean Harper, MSN, APRN, FNP-C
-
Danielle Nicole King, APRN
-
Michelle Moreno, DO
-
Edward Demond Scott, M.D.
-
Amy Sue Westfall, CNP
-
Iesha Shanae Bell, DNP
-
Yekalo T. Beyene, M.D.
-
Cherre L. Flynn, LISW-S
-
Noah John Hochendoner, APRN-CNP
-
Leslee Renee McElrath, M.D.
-
Marina Jean Miceli, LPCC
-
Jeremiah M Noggle, CNP
-
Michael Edward Putinski, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Federally qualified health center certification: CCN 361939
- Legal name
- AXESS FAMILY SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 9, 2009
- Last certification
- Jan 9, 2009
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 19, 1993 in OH
- Enrollment address
- 143 Gougler Ave
Kent, OH 44240-2401 - Related CCNs
- 361860
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Rita Aggarwal |
Corporate Director |
Sep 27, 2017 | |
| Roula Braidy |
Corporate Director |
Apr 25, 2018 | |
| Marie Curry |
Corporate Director |
Aug 28, 2019 | |
| Will Kaiser |
Corporate Director |
Mar 30, 2017 | |
| Kristie Engler-Lynaugh |
Corporate Director |
Jul 6, 2022 | |
| W-2 Managing Employee | Jul 6, 2022 | ||
| Graham Curtis |
Corporate Director |
Apr 24, 2019 | |
| Susan Lowry |
Corporate Director |
Sep 25, 2019 | |
| Deborah L Mann |
Corporate Director |
Dec 15, 2021 | |
| April Hill |
Corporate Officer |
Nov 28, 2023 | |
| Corporate Director |
Nov 28, 2023 | ||
| Patricia L Taylor |
Corporate Director |
Dec 15, 2022 | |
| Rebecca Callahan |
Corporate Director |
Jun 28, 2017 | |
| Iesha Bell |
Corporate Director |
Jan 12, 2023 | |
| Tania Nemer |
Corporate Director |
Jan 1, 2023 | |
| Edward Demond Scott |
Corporate Director |
Jul 6, 2022 | |
| W-2 Managing Employee | Jul 6, 2022 | ||
| Gregory Musci |
Corporate Director |
Jul 6, 2022 | |
| W-2 Managing Employee | Jul 6, 2022 | ||
| Christine L States |
Corporate Officer |
Jan 4, 2021 | |
| W-2 Managing Employee |
Jan 4, 2021 | ||
| Mark a Frisone |
Corporate Director |
Apr 24, 2019 | |
| Lauren Smith |
Corporate Director |
Dec 15, 2021 | |
| Magdi Awad |
Corporate Director |
Jul 6, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081121000352 | OH | Part a Provider - Federally Qualified Health Center (FQHC) | 5395705545 | Practice locations: Kent, OH |
| O20170131000781 | OH | Part B Supplier - Clinic/Group Practice | 5395705545 |
Receives reassigned benefits from 76 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kent, OH; Youngstown, OH; Warren, OH; Ravenna, OH; Barberton, OH; Akron, OH |
National Provider Directory
- Tax ID family
- Akron Community Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
143 Gougler Ave
Kent, OH 44240-2401
Mailing address
PO Box 933132
Cleveland, OH 44193-0001
Phone (330) 673-1016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2946914 | Medicaid | OH |
Other names
- AxessPointe Community Health Center, Inc
Other providers in Kent, OH
- At Home Healthcare
- At Home Healthcare
- Lydia Mae Avery
- Salome Naomi Avery
- Axess Family Services Inc
- Axess Family Services Inc
- Axess Family Services Inc
- Axess Family Services Inc
- Arieanna Lenora Ayala
- Danya Charisse Bailey
All providers in Kent, OH · Federally Qualified Health Center (FQHC) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.