Mystal Rae Axtman, M.S., LPCC
NPI 1285775569ActiveIndividual· Counselor, Professional· Fargo, ND
Counselor, Professional (M.S., LPCC) with Inner Light Counseling Services Ltd, practicing in Fargo, North Dakota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1285775569 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., LPCC |
| Sole proprietor | Yes |
| NPI issued | Feb 9, 2007 |
| Last updated in NPPES | Feb 15, 2023 |
| Certified by provider | Feb 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 472-3-1-02-164 | ND |
| Counselor, Mental Health | 101YM0800X | 472-3-1-02-164 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (ND) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Inner Light Counseling Services LtdFargo, ND · 2 clinicians
Other Counselor, Professional providers in Fargo
- 1063195683
- 1164898136
- 1457201444
- 1427589225
- 1699663807
- 1528799566
- 1265130561
- 1851267447
- 1306732995
- 1205609799
- 1740861954
- 1003386459