1 AXIUM, LLC (NPI# 1346697208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346697208 |
| Entity Type | Organization |
| Organization Name | 1 AXIUM, LLC |
| Other Organization Name | 1ST AXIUM, LLC |
| Practice Address |
3000 Connecticut Ave Nw Suite 321 Washington DC 20008-2509 |
| Mailing Address |
3420 9th St Ne Washington DC 20017-1704 |
| Practice Telephone | 2022764854 |
| Mailing Telephone | 3016505943 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | DR. GWENDOLYN LOVE KIMBROUGH (PRESIDENT) |
| Authorized Official Telephone | 3016505943 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 018287987 | 05 |
| Other Name | Type Code |
|---|---|
| 1st Axium, LLC | Other Name - Individual/Organization |
| Street Address |
3000 CONNECTICUT AVE NW SUITE 321 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20008-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420535 | Donald Zuckerman | Social Worker | 3000 Connecticut Ave Nw, Ste 301, Washington, DC 20008-2531 | 2005-07-11 |
| 1356873822 | Nova Pendulum Productions | Community/Behavioral Health | 3000 Connecticut Ave Nw, Washington, DC 20008-2509 | 2017-04-03 |
| 1568905933 | Nicholas V Buscemi Msom Lac | Acupuncturist | 3000 Connecticut Ave Nw, Suite 334, Washington, DC 20008-2509 | 2016-12-02 |
| 1770032120 | Rachel Wills | Counselor | 3000 Connecticut Ave Nw, Apt 402, Washington, DC 20008-2527 | 2016-09-27 |
| 1831552215 | Ryan Joseph Long | Social Worker | 3000 Connecticut Ave Nw, Suite 436, Washington, DC 20008-2509 | 2016-04-01 |
| 1548625205 | Bradley Lake | Social Worker | 3000 Connecticut Ave Nw, Washington, DC 20008-2509 | 2015-12-23 |
| 1821485277 | Deborah J. Hales | Psychiatry & Neurology | 3000 Connecticut Ave Nw, Suite 137 North, Washington, DC 20008-2509 | 2015-04-23 |
| 1154718153 | Cathedral Drugs LLC | Pharmacy | 3000 Connecticut Ave Nw, Washington, DC 20008-2509 | 2015-04-17 |
| 1164810263 | William Phillips Jr. | Pharmacist | 3000 Connecticut Ave Nw, Washington, DC 20008-2509 | 2014-12-26 |
| 1205248820 | Gustavo C. Guerra | Counselor | 3000 Connecticut Ave Nw, Suite 237 A, Washington, DC 20008-2509 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668233 | Ana Merino | Adult Companion | 2231 Bancroft, Washington, DC 20008 | 2020-10-30 |
| 1497371884 | Shannon A Morning | Technician | 4850 Connecuit Ave Nw, 503, Washington, DC 20008 | 2020-06-22 |
| 1588286876 | Van Ness Pharmacy LLC | Pharmacy | 4215 Connecticut Ave St #1 Nw, Washington, DC 20008 | 2020-05-11 |
| 1013552223 | Adam D Schwartz Dds PC | Dentist | 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 | 2019-11-12 |
| 1588205629 | Good Food Nutrition Group, LLC | Dietitian, Registered | 2820 Ordway St Nw, Washington, DC 20008 | 2019-09-30 |
| 1770141921 | Fiona Griffin | Counselor | The Body Image Therapy Center, 2639 Connecticut Ave Nw Suite 251, Washington, DC 20008 | 2019-06-03 |
| 1225513476 | Shelley A Rockwell | Psychologist | 3303 Macamb Street N.w., Washington, DC 20008 | 2018-10-03 |
| 1053899930 | Sublime Kidz, LLC | Occupational Therapist | 4550 Connecticut Ave Nw Apt 307, Washington, DC 20008 | 2018-08-01 |
| 1730699117 | Francesca Marie Pascucci | Behavioral Analyst | 4849 Connecticut Avenue Nw, Apt. #0208, Washington, DC 20008 | 2017-10-11 |
| 1073038808 | Andrea Lauryn Kenoff | Social Worker | 4601 Connecticut Avenue Northwest, Apartment 511, Washington, DC 20008 | 2017-08-14 |
| Find all providers in zip 20008 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1619588522 | Royal Healthcare LLC | Community/Behavioral Health | 3502 18th St Ne # 2, Washington, DC 20018-2738 | 2020-08-13 |
| 1669098802 | Kairos Behavioral Healthcare | Community/Behavioral Health | 3106 Pennsylvania Ave Se, Washington, DC 20020-3710 | 2020-06-23 |
| 1255956603 | Lynz Consulting LLC | Community/Behavioral Health | 2310 Ashmead Pl Nw Apt 307, Washington, DC 20009-1432 | 2020-06-11 |
| 1801423314 | Wise Human Services | Community/Behavioral Health | 126 Belvidere Ave, Washington, NJ 07882-1417 | 2020-03-25 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1033757232 | District of Columbia Recovery Community Alliance Inc | Community/Behavioral Health | 5656a 3rd St Ne, Washington, DC 20011-2532 | 2019-12-18 |
| 1043851868 | J. Francis Black LLC | Community/Behavioral Health | 3000 Connecticut Ave Nw Ste 137, Washington, DC 20008-2549 | 2019-10-02 |
| 1689222804 | Samantha Morrell LLC | Community/Behavioral Health | 1724 20th St Nw Ste 202, Washington, DC 20009-1355 | 2019-08-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20008 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.