Mystal Rae Axtman, M.S., LPCC
Professional Counselor · Fargo, ND
Mystal Rae Axtman, M.S., LPCC is a professional counselor with a practice address in Fargo, North Dakota, and NPI 1285775569, issued on Feb 9, 2007. Check the license (North Dakota 472-3-1-02-164, as entered in NPPES) with the North Dakota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mystal Rae Axtman
- Credential
- M.S., LPCC
- Primary taxonomy
- Professional Counselor 101YP2500X
- License number
- 472-3-1-02-164 ND
Self-reported in NPPES; status is on the state search - Practice location
- 4675 40TH Ave S Ste 115, Fargo, ND 58104
- Phone
- (701) 478-0906
- Enumerated
- Feb 9, 2007
- Record last updated
- Feb 15, 2023
- Medicare enrollment
- Enrolled (PECOS I20240213002796); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest professional counselor records → All 478 in North Dakota → Look up another NPI →
Also registered at 4675 40TH Ave S Ste 115
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Angela Abrams, LPCC-SProfessional Counselor1861816902
- Andrea Block, LPCCMental Health Counselor1912632118
- Anne Witteman, LPCC, LMACProfessional Counselor1669880381
Verify Mystal Rae Axtman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Dakota board licenses this profession
Search for license 472-3-1-02-164Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Inner Light Counseling Services LtdFargo, ND
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mystal Rae Axtman among 478 professional counselor records in North Dakota
Mystal Rae Axtman, M.S., LPCC is one of 478 professional counselor records with a practice address in North Dakota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 6% of them.
- NPI issued2007 · 6% of these records are older, 88% newer
- In a Medicare fileYes · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 32% of these records are
- Graduated2001 · median 2017 among the 153 with a school on file
- Record last updated2023 · 36% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YP2500X and a North Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
182 professional counselor records list a practice address in Fargo
They are 182 of the 7,209 NPPES records with a practice address in Fargo, and 478 professional counselor records in North Dakota.
All 478 in North Dakota → Every provider in Fargo → Professional Counselor nationwide →
The 8 professional counselor records with the nearest ZIP codes
- Angela Abrams, LPCC-SFargo, ND 581041861816902
- Mary Jo Andersen, NCC, LPCCFargo, ND 581041205095361
- Jamie Anderson, LAPCFargo, ND 581041073883773
- Jane Austinson Blilie, M.ED., LPCFargo, ND 581041962678417
- Jana Battagler, LPCFargo, ND 581041386042513
- June Forde, LPCCFargo, ND 581041275636888
- Dawn Groslie, LPCCFargo, ND 581041831285964
- Allen Irish-Zabolotny, LPC, LPCCFargo, ND 581041104227925
Common questions
What is Mystal Rae Axtman, M.S., LPCC's NPI number?
Mystal Rae Axtman, M.S., LPCC's National Provider Identifier (NPI) is 1285775569, issued on Feb 9, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mystal Rae Axtman, M.S., LPCC located?
The NPPES record lists a practice address at 4675 40TH Ave S Ste 115, Fargo, ND, 58104. Phone: (701) 478-0906. Providers update this record themselves, so call before visiting.
How can I verify Mystal Rae Axtman, M.S., LPCC's license?
NPPES lists North Dakota license number 472-3-1-02-164, as entered by the provider. Search the North Dakota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.