INNER LIGHT COUNSELING SERVICES
NPI 1740861954
Counselor - Professional in Fargo, ND
About Inner Light Counseling Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNER LIGHT COUNSELING SERVICES (NPI 1740861954) is a healthcare organization registered as a professional in Fargo, North Dakota and active in the NPI registry since April 2021. The organization lists Mystal Axtman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Inner Light Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Inner Light Counseling Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Inner Light Counseling Services, Ltd's NPI number?
The NPI number for Inner Light Counseling Services, Ltd is 1740861954. It was assigned to this organization in the NPPES registry on April 19, 2021. The provider is doing business as Inner Light Counseling Services.
Where is Inner Light Counseling Services, Ltd located?
Inner Light Counseling Services, Ltd is located at 4675 40th Ave S Ste 115, Fargo, ND 58104. The listed phone number is (701) 478-0906.
What is Inner Light Counseling Services, Ltd's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Inner Light Counseling Services, Ltd enrolled in Medicare?
Yes. Inner Light Counseling Services, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Inner Light Counseling Services, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Inner Light Counseling Services, Ltd. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Inner Light Counseling Services, Ltd accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Inner Light Counseling Services, Ltd 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 Inner Light Counseling Services, Ltd 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.
# Inner Light Counseling Services · NPI 1740861954
Professional organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1740861954 (Entity type: Organization)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Legal business name:** Inner Light Counseling Services, Ltd
- **Organization subpart:** No
- **Authorized official:** Mystal Axtman, OWNER
## Practice location
- **Address:** 4675 40TH AVE S STE 115, Fargo, ND 58104-4592
- **Phone:** (701) 478-0906 · **Fax:** (701) 478-0909
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740861954) · Data from the CMS NPPES public registry.