Individual provider Active NPI

Ariel E Axelrod-Hahn, MA, LMHC

  • Mental Health Counselor
  • Somerville, MA
National Provider Identifier
1811424955
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11882 Issued in MA
Practice address
1234 Broadway Ste 6
Somerville, MA 02144-1703
Phone
(857) 246-8383
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11882 MA Primary

Addresses

Primary practice location

1234 Broadway Ste 6
Somerville, MA 02144-1703

Mailing address

1234 Broadway Ste 6
Somerville, MA 02144-1703
Phone (857) 246-8383

Other names 1

  • Ms. Ariel Axelrod Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2024 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11882MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1811424955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BROADWAY STE 6",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441703",
            "telephone_number": "857-246-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BROADWAY STE 6",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021441703",
            "telephone_number": "857-246-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD-HAHN",
        "first_name": "ARIEL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "11882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIEL",
            "last_name": "AXELROD",
            "prefix": "MS.",
            "credential": "MA, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.