MYSTAL RAE AXTMAN M.S., LPCC
NPI 1285775569
Counselor - Professional in Fargo, ND
About Mystal Rae Axtman M.s., Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYSTAL RAE AXTMAN M.S., LPCC (NPI 1285775569) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (472-3-1-02-164) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mystal Rae Axtman M.s., Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mystal Axtman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58104
- Reassigned Medicare billing, North Dakota enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARGO, ND 58104
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 Mystal Axtman's NPI number?
The NPI number for Mystal Axtman is 1285775569. It was assigned to this individual provider in the NPPES registry on February 9, 2007.
Where is Mystal Axtman located?
Mystal Axtman practices at 4675 40th Ave S Ste 115, Fargo, ND 58104. The listed phone number is (701) 478-0906.
What is Mystal Axtman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mystal Axtman enrolled in Medicare?
Yes. Mystal Axtman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mystal Axtman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mystal Axtman reassigns Medicare benefits to Inner Light Counseling Services, Ltd (Fargo, ND). The 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 Mystal Axtman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mystal Axtman accept?
Health plans from Blue Cross Blue Shield of North Dakota list Mystal Axtman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mystal Axtman was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Mystal Rae Axtman, M.S., LPCC · NPI 1285775569
Professional provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1285775569 (Entity type: Individual)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 472-3-1-02-164 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4675 40TH AVE S STE 115, Fargo, ND 58104-4592
- **Phone:** (701) 478-0906
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inner Light Counseling Services, Ltd (NPI 1740861954, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** February 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1285775569) · Data from the CMS NPPES public registry.