Organization Active NPI

Axiom Family Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Jeannette, PA
National Provider Identifier
1457750341
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
650054 Issued in PA
Legal business name
AXIOM FAMILY COUNSELING SERVICES, INC.
Practice address
225 Margaret Ave
Suite 3
Jeannette, PA 15644-3081
Phone
(724) 205-6361
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Mrs. Denise Visnick, MS
Title
Project Director
Phone
(866) 472-9466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 650054 PA
Community/Behavioral Health Agency 251S00000X 650054 PA Primary

Addresses

Primary practice location

225 Margaret Ave
Suite 3
Jeannette, PA 15644-3081

Mailing address

225 Margaret Ave
Suite 3
Jeannette, PA 15644-3081
Phone (724) 205-6361

Other identifiers 2

IdentifierTypeStateIssuer
650054OtherPADEPARTMENT OF HEALTH
433860MedicaidPA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2086635Axiom Family Counseling Services, Inc225 Margaret Avenue, Suite 3, Jeannette, PA 15644Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory
Tax ID family
Axiom Family Counseling Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

225 Margaret Ave
Ste 3
Jeannette, PA 15644
Phone (724) 522-5456

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1457750341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MARGARET AVE",
            "address_2": "SUITE 3",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443081",
            "telephone_number": "724-205-6361",
            "fax_number": "800-398-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MARGARET AVE",
            "address_2": "SUITE 3",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443081",
            "telephone_number": "724-205-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM FAMILY COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "VISNICK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "866-472-9466",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "650054",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "650054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "650054",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.