1 AXIUM LLC NPI 1346697208

NPI Information

  • NPI: 1346697208
  • Provider Name: 1 AXIUM, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Other Name: 1ST AXIUM, LLC
  • Address: 4041 POWDER MILL RD STE 300
    BELTSVILLE, MD
    ZIP 20705
  • Phone: (202) 808-2878

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NPI Details

1 AXIUM, LLC is a community behavioral health in Beltsville, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. 1 AXIUM, LLC NPI is 1346697208. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is 1st Axium, Llc.

The provider's business location address is:

4041 POWDER MILL RD STE 300
BELTSVILLE, MD
ZIP 20705-106
Phone: (202) 808-2878
Fax: (202) 506-2754

The provider's authorized official is Gwendolyn Love Kimbrough .
The authorized official title is Ceo and has the following contact phone number (202) 808-2878.

The enumeration date for this NPI number is 5/20/2016 and was last updated on 11/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3103K00000XBehavior AnalystNo
4103TC0700XPsychologistClinicalNo
5103TP2701XPsychologistGroup PsychotherapyNo
6103TR0400XPsychologistRehabilitationNo
71041C0700XSocial WorkerClinicalNo
8106H00000XMarriage & Family TherapistNo
9235Z00000XSpeech-Language PathologistNo
10251B00000XCase ManagementNo
11251C00000XDay Training, Developmentally Disabled ServicesNo
12251E00000XHome HealthNo
13251S00000XCommunity/Behavioral HealthYes
14253Z00000XIn Home Supportive CareNo
15385H00000XRespite CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1018287987MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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