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

Tamara Lynn Axtell, LMHCA, CDPT

Individual provider Mental Health Counselor · NPI 1578039566

Tamara Lynn Axtell, LMHCA, CDPT is a Mental Health Counselor in Black Diamond, Washington. Qualified in 2018, 8 years ago. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018

Practice location Address checks out

30741 3rd Ave Ste 163
Black Diamond, WA 98010-9791
Phone: (425) 429-7673
Fax: (425) 207-4909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LH61032658 (WA)

Record details

NPI number1578039566
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHCA , CDPT
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Black Diamond