DR. GARY L AXELSON (NPI# 1215958426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215958426 |
| Entity Type | Individual |
| Full Name | DR. GARY L AXELSON |
| Credential | LCP |
| Practice Address |
8119 Holland Rd Alexandria VA 22306-3135 |
| Mailing Address |
3373 Hickory Hills Dr Oakton VA 22124-2306 |
| Practice Telephone | 7037992711 |
| Mailing Telephone | 7037582550 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810001668 | VA | Behavioral Health & Social Service Providers |
| Street Address |
8119 HOLLAND RD |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-3135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609894591 | Cenith A. Hall-tibbs | Social Worker | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2006-07-18 |
| 1710586045 | Gary Wayne Carter | Registered Nurse | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2020-10-19 |
| 1467066548 | Rebecca Knowles | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2020-09-04 |
| 1861030173 | Jennifer Nhung Crittenden | Social Worker | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-12-17 |
| 1871136697 | Heather Lauren Parker | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-10-24 |
| 1396204293 | Stephanie Prior | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-03-19 |
| 1801350913 | L King | Social Worker | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2019-01-23 |
| 1942788161 | Jessica Lyn Williams | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2018-07-31 |
| 1881172286 | Dennis Edwards Shannon | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2018-07-30 |
| 1528573128 | Dominique Pia Adkins | Counselor | 8119 Holland Rd, Alexandria, VA 22306-3135 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| 1831722313 | Alexandria Therapy, LLC | Psychologist | 2210 Mount Vernon Ave Ste 204, Alexandria, VA 22301-1361 | 2020-02-12 |
| 1982236709 | Pivotal Psych Consultants | Psychologist | 500 N Washington St Ste 205, Alexandria, VA 22314-2314 | 2020-02-10 |
| 1992337273 | Jessica Mae Desalu | Psychologist | 205 S Whiting St Ste 312, Alexandria, VA 22304-3632 | 2020-02-05 |
| 1760948095 | Daniela Sosa-sarkar | Psychologist | 5500 Holmes Run Pkwy Ste C4, Alexandria, VA 22304-2860 | 2019-02-12 |
| 1326504739 | Sadie Doll | Psychologist | 5615k Jackson St, Alexandria, LA 71303-2592 | 2019-02-11 |
| 1972070894 | Ansari and Associates, LLC | Psychologist | 901 N Washington St Ste 601, Alexandria, VA 22314-1535 | 2018-10-29 |
| 1679040851 | Kathryn Ziemer | Psychologist | 1202 Prince St, Alexandria, VA 22314-2936 | 2018-10-25 |
| 1699259812 | Travis Drake Flower | Psychologist | 3412 Tennessee Dr, Alexandria, VA 22303-1225 | 2018-09-24 |
| 1720572076 | Michele Klopner | Psychologist | 3602 Forest Dr, Alexandria, VA 22302-1091 | 2018-06-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
Please comment or provide details below to improve the information on DR. GARY L AXELSON.
| 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.