MEDICARE: AXXIUMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	103T00000X	Psychologist
4	103TB0200X	Cognitive & Behavioral Psychologist
5	103TC0700X	Clinical Psychologist
6	103TC1900X	Counseling Psychologist
7	103TP2701X	Group Psychotherapy Psychologist
8	104100000X	Social Worker
9	1041C0700X	Clinical Social Worker
10	106H00000X	Marriage & Family Therapist
11	133N00000X	Nutritionist
12	133V00000X	Registered Dietitian
13	2084P0800X	Psychiatry Physician
14	2084P0804X	Child & Adolescent Psychiatry Physician
15	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1063354264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXXIUMS

Provider Business Mailing Address
First Line	:	1301 W 7TH ST UNIT 1485
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-7517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 W 7TH ST UNIT 1485
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-7517
Country	:	US
Telephone Number	:	240-823-5600
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. VIOLET BROWN
Credential	:
Telephone Number	:	240-248-2345

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Practice Location Address:

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1043101975 — FREDERICK INTEGRATIVE METABOLIC PSYCHIATRY AND COUNSELING, P.C.
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1548869696 — ALBENIZ CARE AGENCY, LLC
Practice Location Address:

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Directions to “AXXIUMS ” Practice Location

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