ALYSSA AXELROD, Masters Arts Therapy — NPI 1194435537 (Licensed & Credentialed Art Therapist in FAR ROCKAWAY, NY)

CMS-1500 Box 24J / 33a • NPI

1194435537

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

221700000X

Licensed & Credentialed Art Therapist

Box 32 Service Location & ZIP+4

264 BEACH 19TH ST, FAR ROCKAWAY, NY, 11691-4431

✓ 9-Digit EDI 837 ZIP+4 (11691-4431)

Practice Phone & Referral Fax

(718) 868-2961

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194435537 (ALYSSA AXELROD, Masters Arts Therapy) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194435537` (NPI-1 Individual Practitioner)
Provider / Legal Name	ALYSSA AXELROD, Masters Arts Therapy
Plain-English Specialty	Licensed & Credentialed Art Therapist NUCC Code: `221700000X` (Art Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	264 BEACH 19TH ST, FAR ROCKAWAY, NY, 11691-4431
Practice Telephone / Fax	Tel: (718) 868-2961
Administrative Mailing Address	11 HOLLY LN, LAWRENCE, NY, 11559-1317
Enumeration & Last Sync	Enumerated: 2022-11-28 \| CMS Record Updated: 2022-11-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

264 BEACH 19TH ST, FAR ROCKAWAY, NY, 11691-4431

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Plain-English Taxonomy & CMS Crosswalk (221700000X)

What Does Taxonomy Code 221700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 221700000X translates to:
"Licensed & Credentialed Art Therapist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Art Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALYSSA AXELROD, Masters Arts Therapy)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`221700000X` — Art Therapist Plain English: Licensed & Credentialed Art Therapist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALYSSA AXELROD, Masters Arts Therapy (NPI #1194435537)