Jill Axelrod, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006196-1 Issued in NY

Practice address

1051 Wantagh Ave
Wantagh, NY 11793-2109

Phone

(516) 785-0323

NPI assigned

Nov 16, 2014

Last updated

Nov 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Shore Counseling and Psychological Services, PCGroup PAC ID 5890849434, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South Shore Counseling and Psychological Services P C

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wantagh, NY
  • NPI 1336209469
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1871999094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 IRONWOOD RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117919662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932109",
            "telephone_number": "516-785-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELROD",
        "first_name": "JILL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006196-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Arora, PA-C
• Jason D Astrup
• Michelle Lynn Astrup
• Timothy E Astrup
• Joanne Autero, LMSW
• Jane Axman
• B Feig Licensed Behavioral Analyst PC
• Anthony J. Bacchi, DDS
• Kim Elaine Backman, NP
• Tammy S. Baiko, M.S.

• Mental Health Counselor in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.