Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mystal Rae Axtman, MS, LPCC

Individual provider Mental Health Counselor · NPI 1285775569

Mystal Rae Axtman, MS, LPCC is a Mental Health Counselor in Fargo, North Dakota. Qualified in 2001, 25 years ago. Practices with Inner Light Counseling Services Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
25
Licensed in
ND
In the registry since
2007
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

4675 40th Ave S Ste 115
Fargo, ND 58104-4592
Phone: (701) 478-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 472-3-1-02-164 (ND)
Mental Health Counselor Taxonomy 101YM0800X · Licence 472-3-1-02-164 (ND)

Record details

NPI number1285775569
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LPCC
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Inner Light Counseling Services Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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