Damaris Axelson, LPCC, LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2488 Issued in MN

Practice address

2724 University Ave SE Ste B
Minneapolis, MN 55414-3210

Phone

(612) 299-1090

NPI assigned

Aug 11, 2020

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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.

• Through Therapy Collective, Inc

  • Marriage & Family Therapist
  • Minneapolis, MN
  • NPI 1508324336
  Medicare reassignment NPD
• Sasaki Medical LLC

  dba Kai Shin Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Saint Paul, MN
  • NPI 1043829625
  NPD (past)
• Sasaki Medical LLC

  dba Kai Shin Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Roseville, MN
  • NPI 1326490475
  NPD (past)
• Sasaki Medical LLC

  dba Kai Shin Reference Lab

  • Clinical Medical Laboratory
  • Saint Paul, MN
  • NPI 1992472757
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1811508120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5005",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "612-509-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 UNIVERSITY AVE SE STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143210",
            "telephone_number": "612-299-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 Grand Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053064",
            "country_code": "US",
            "telephone_number": "612-509-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXELSON",
        "first_name": "DAMARIS",
        "name_prefix": "Ms.",
        "credential": "LPCC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303909",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebi Awosika, M.D, M.P.H
• Daud Awow
• Tiffany Awowale, NP
• Anthony Awuah, PHARMD
• Linda S Axell, RN
• Axion Solutions LLC
• Axis Family Chiropractic
• Axis Home Pca Agency Inc
• Axis Home Pca Agency Inc
• Axis Medical Center (All Somali Community of Minnesota)

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.