AXIS BEHAVIORAL HEALTH LLC
NPI 1063226280
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hanover, MD
About Axis Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AXIS BEHAVIORAL HEALTH LLC (NPI 1063226280) is a healthcare organization registered as a mental health (including community mental health center) in Hanover, Maryland and active in the NPI registry since February 2025. The organization lists Queendaline Nwobodo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Axis Behavioral Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Axis Behavioral Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Axis Behavioral Health LLC's NPI number?
The NPI number for Axis Behavioral Health LLC is 1063226280. It was assigned to this organization in the NPPES registry on February 6, 2025.
Where is Axis Behavioral Health LLC located?
Axis Behavioral Health LLC is located at 7405 Thames River Dr, Hanover, MD 21076. The listed phone number is (443) 345-7967.
What is Axis Behavioral Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Axis Behavioral Health LLC enrolled in Medicare?
Yes. Axis Behavioral Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Axis Behavioral Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Axis Behavioral Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Axis Behavioral Health LLC was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Axis Behavioral Health Llc · NPI 1063226280
Mental Health (Including Community Mental Health Center) organization in Hanover, Maryland. Organization record, active in the CMS NPPES registry since February 6, 2025.
## Identity
- **NPI:** 1063226280 (Entity type: Organization)
- **Enumerated:** February 6, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Queendaline Nwobodo, PRESIDENT
## Practice location
- **Address:** 7405 THAMES RIVER DR, Hanover, MD 21076-1778
- **Phone:** (443) 345-7967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1063226280) · Data from the CMS NPPES public registry.