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TAMARA LYNN AXTELL LMHCA, CDPT
NPI 1578039566
Counselor - Mental Health in Black Diamond, WA

Active since October 17, 2018PECOS Enrolled
30741 3RD AVE STE 163, BLACK DIAMOND, WA 98010(425) 429-7673(425) 207-4909 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Apr 30, 2021, Oct 17, 2018 (3 updates tracked since 2018).

About Tamara Lynn Axtell Lmhca, Cdpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA LYNN AXTELL LMHCA, CDPT (NPI 1578039566) is an individual mental health provider in Black Diamond, Washington, licensed in Washington (LH61032658) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578039566
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMARA LYNN AXTELLCredential: LMHCA, CDPT
Location Address30741 3RD AVE STE 163Black Diamond, WA 98010-9791
Mailing Address30741 3rd Ave Ste 163Black Diamond, WA 98010-9791 · (503) 317-6619 · Fax (425) 207-4909
Phone(425) 429-7673
Fax(425) 207-4909
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 17, 2018
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1578039566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61032658
30741 3RD AVE STE 163, Black Diamond, WA 98010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Lynn Axtell Lmhca, Cdpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284113085
PECOS Enrollment IDI20260211003261
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA AXTELL COUNSELING, PLLC
Counselor (Mental Health)
30741 3RD AVE STE 163
BLACK DIAMOND, WA 98010
King County (425) 429-7673

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 Tamara Axtell's NPI number?

The NPI number for Tamara Axtell is 1578039566. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Tamara Axtell located?

Tamara Axtell practices at 30741 3rd Ave Ste 163, Black Diamond, WA 98010. The listed phone number is (425) 429-7673.

What is Tamara Axtell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tamara Axtell enrolled in Medicare?

Yes. Tamara Axtell is registered in the Medicare PECOS enrollment system.

What insurance does Tamara Axtell accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tamara Axtell 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 Tamara Axtell was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.