Axis Family Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AXIS FAMILY SERVICES, LLC

Practice address

1912 Jones PL
Kokomo, IN 46902-5084

Phone

(765) 438-6625

NPI assigned

Jun 14, 2018

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie D ClineNPI 1669964110

Title

Executive Director

Phone

(765) 438-6625

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie D Cline

  • Day Training/Habilitation Specialist
  • Kokomo, IN
  • NPI 1669964110
  NPD (past) Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1881187748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 JONES PL",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025084",
            "telephone_number": "765-438-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 JONES PL",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025084",
            "telephone_number": "765-438-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-438-6625"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669964110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Atkinson
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• Arturo Avergonzado Jr., RPT
• Zoem Aviles
• Barbara Ayala, LSW
• Hannah Babcock
• Makayla Bach, RBT
• Sarah Back
• Emily A Backer, M.D.

• Community/Behavioral Health Agency in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.