TOMAS M AXTELLE (MA) – Mental Health Counselor, NPI 1568505253

TOMAS M AXTELLE (MA) is a healthcare provider. based in Bremerton, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. RC00038765 (WA). The NPI Number for TOMAS M AXTELLE (MA) is 1568505253

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
TOMAS M AXTELLE (MA)
NPI
1568505253
Phone
(360) 373-5031
Address
5455 ALMIRA DR SE
Enumeration Date
14 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603948558
Graduation Year
2004 (22 years ago)
PAC ID
3678911666
Group Practice PAC ID
3173975893
Professional Enrollment ID
I20240410001242
Address ID
WA983929533SU18490NEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for TOMAS M AXTELLE (MA)

  • 5455 ALMIRA DR SE

    BREMERTON, WA 983118330

    Phone: (360) 373-5031

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240410001242IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98311)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173975893View full group profile
NameSpecialtyState
Mental Health CounselorWA
Clinical Social WorkerOR
Nurse PractitionerWA
Family PracticeWA
Family PracticeWA

Reviews

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Frequently asked questions

Does TOMAS M AXTELLE (MA) have a public NPI I can cite?
Public records show TOMAS M AXTELLE (MA) under NPI 1568505253.
Should I treat TOMAS M AXTELLE (MA) as an active provider?
Patients and plans typically see TOMAS M AXTELLE (MA) as active in the national extract.
How should patients interpret TOMAS M AXTELLE (MA)'s specialty?
The extract shows Mental Health Counselor for TOMAS M AXTELLE (MA). Clinical services aligned with this taxonomy classification.
Is TOMAS M AXTELLE (MA) tied to Bremerton, Washington?
If you are local to Bremerton, Washington, TOMAS M AXTELLE (MA) may be relevant to your search.
Can I export TOMAS M AXTELLE (MA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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