Provider Demographics
NPI:1699345348
Name:AXIS COUNSELING, PLLC
Entity type:Organization
Organization Name:AXIS COUNSELING, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM JON
Authorized Official - Middle Name:
Authorized Official - Last Name:APARICIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-239-1983
Mailing Address - Street 1:1055 W BRYN MAWR AVE STE F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4692
Mailing Address - Country:US
Mailing Address - Phone:970-239-1983
Mailing Address - Fax:
Practice Address - Street 1:2733 HARVARD ST APT A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2166
Practice Address - Country:US
Practice Address - Phone:970-239-1983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty