Rick M Axtman, MA LCMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

169 Issued in NH

Practice address

4 Bicentennial Square
Bsca 2ND Floor
Concord, NH 03301

Phone

(603) 226-1976

Fax

(603) 226-1979

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Riverbend Community Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, NH
  • NPI 1942264940
  Medicare reassignment NPD
• Bicentennial Square Counseling Associates, PLLC

  • Clinical Psychologist
  • Concord, NH
  • NPI 1083765184
  NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740259555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BICENTENNIAL SQUARE",
            "address_2": "BSCA 2ND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "fax_number": "603-226-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BICENTENNIAL SQUARE",
            "address_2": "BSCA 2ND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-226-1976",
            "fax_number": "603-226-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTMAN",
        "first_name": "RICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MA LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NH",
            "license": "169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422449",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne C Avery, RN
• Jonas Aviza, DDS
• Paris Susannah Awalt, LICSW
• Kristen M Awrich, RN
• Phoebe E Axtman, LICSW, MLADC
• Christy Jean Ayer
• Carrie Decato Ayers, DO
• Mary Babineau, MS,CCC-SLP
• Jennifer Baca
• Back in Action Chiropractors NH L.L.C.

• Counselor in Concord, NH
• Providers in Concord, NH by specialty
• Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.