Active NPI
Laura Confer Axtell, MA, LPC, NCC
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1891999181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2969
- Practice address
- 5042 Cramer Woods Dr
Gastonia, NC 28056-8581 - Phone
- (704) 824-4900
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2969 | NC | Primary |
Addresses
Primary practice location
5042 Cramer Woods Dr
Gastonia, NC 28056-8581
Mailing address
5042 Cramer Woods Dr
Gastonia, NC 28056-8581
Phone (704) 824-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2969 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891999181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5042 CRAMER WOODS DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568581",
"telephone_number": "704-824-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5042 CRAMER WOODS DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280568581",
"telephone_number": "704-824-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXTELL",
"first_name": "LAURA",
"middle_name": "CONFER",
"name_prefix": "Mrs.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "2969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.