Inner Light Counseling Services, Ltd
NPI 1740861954ActiveOrganization· Counselor, Professional· Fargo, ND
Counselor, Professional in Fargo, North Dakota, registered in NPPES in April 2021. The authorized official on file is Mystal Axtman, LPCC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740861954 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2021 |
| Last updated in NPPES | Feb 15, 2023 |
| Certified by provider | Feb 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ND) |
|---|
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