Active NPI
Angella K Axelson, M.S.
- Professional Counselor
- New Bern, NC
National Provider Identifier
1932250263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3164
- Practice address
- 3010 Trent Rd
New Bern, NC 28562-5735 - Phone
- (252) 636-0001
- NPI assigned
- Jan 15, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3164 | NC | Primary |
Addresses
Primary practice location
3010 Trent Rd
New Bern, NC 28562-5735
Mailing address
411 Emmen Rd
New Bern, NC 28562-8798
Phone (252) 617-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102129 | Medicaid | NC |
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3164 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Carolina Health Resources | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932250263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 EMMEN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285628798",
"telephone_number": "252-617-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 TRENT RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625735",
"telephone_number": "252-636-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXELSON",
"first_name": "ANGELLA",
"middle_name": "K",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102129",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bern, 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.