Phoebe E Axtman, LICSW, MLADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1206 Issued in NH

Practice address

22 Bridge Street
3Rd Floor, Suite B4
Concord, NH 03301-4987

Phone

(603) 441-0600

NPI assigned

Jan 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Be One, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Concord, NH
  • NPI 1558002576

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Wentworth Douglass Physician Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
  • NPI 1710504683

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1720524929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRIDGE ST STE 19",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRIDGE STREET",
            "address_2": "3RD FLOOR, SUITE B4",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014987",
            "telephone_number": "603-441-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "798 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202520",
            "country_code": "US",
            "telephone_number": "603-609-6690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXTMAN",
        "first_name": "PHOEBE",
        "middle_name": "E",
        "credential": "LICSW, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2835",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2835",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3134057",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailey Avery, M.S., CCC-SLP
• Lynne C Avery, RN
• Jonas Aviza, DDS
• Paris Susannah Awalt, LICSW
• Kristen M Awrich, RN
• Rick M Axtman, MA LCMHC
• Christy Jean Ayer
• Carrie Decato Ayers, DO
• Mary Babineau, MS,CCC-SLP
• Jennifer Baca

• All providers in Concord, NH
• Addiction (Substance Use Disorder) Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.