Samuel Silon Axelrath, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0012774 Issued in CO

Practice address

1504 Galena St
Aurora, CO 80010-2219

Phone

(303) 617-2300

NPI assigned

May 28, 2013

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aurora Comprehensive Community Mental Health Center, Inc

  dba Aurora Community Mental Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aurora, CO
  • NPI 1134149057
  Medicare reassignment NPD
• Aurora Comprehensive Community Mental Health Center

  dba Aurora Mental Health Center

  • Mental Illness Community Based Residential Treatment Facility
  • Aurora, CO
  • NPI 1437756624
  NPD
• Aurora Comprehensive Community Mental Health Center, Inc

  dba Aurora Mental Health & Recovery

  • Community/Behavioral Health Agency
  • Aurora, CO
  • NPI 1407699473
  NPD

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1740627074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117117",
            "telephone_number": "303-617-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 GALENA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102219",
            "telephone_number": "303-617-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELRATH",
        "first_name": "SAMUEL",
        "middle_name": "SILON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0012774",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "0000000000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afolake Margaret Awolaja
• Ellen Awoniyi, MD, MPH
• Awp Medical Holdings LLC (Guardian Angels Health Center)
• Awp Medical Partners LLC (Guardian Angels Health Center)
• Lisen Hanna Axell, CGC
• Axiom Dental Group P.C.
• Axiom Psychiatry LLC
• Mickey Axtellmauck
• Ay Home Care LLC
• Ay Home Health Care LLC

• Professional Counselor in Aurora, CO
• Providers in Aurora, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.