TAMARA LYNN AXTELL (LMHCA, CDPT) – Mental Health Counselor, NPI 1578039566

TAMARA LYNN AXTELL (LMHCA, CDPT) is a healthcare provider. based in Maple valley, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHCA, CDPT. They hold a License No. LH61032658 (WA). The NPI Number for TAMARA LYNN AXTELL (LMHCA, CDPT) is 1578039566

Main info

Female
8 Years Of Experience
Name
TAMARA LYNN AXTELL (LMHCA, CDPT)
NPI
1578039566
Phone
(503) 317-6619
Address
22625 SE 281ST ST
Enumeration Date
17 October 2018
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
4284113085
Professional Enrollment ID
I20260211003261
Address ID
TX753730000DAPOXXXBOXX200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

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Provider Addresses for TAMARA LYNN AXTELL (LMHCA, CDPT)

  • 22625, Southeast 281st Street, Sunridge at Elk Run, Maple Valley, King County, Washington, 98038, United States

    MAPLE VALLEY, WA 980388108

    Phone: (503) 317-6619

    Type: Location

  • 30741 3RD AVE STE 163

    BLACK DIAMOND, WA 980109791

    Phone: (503) 317-6619

    Fax: (425) 207-4909

    Type: Mailing

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: 2026-02-11

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
I20260211003261IMental Health CounselorWATBD

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 98038)

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Reviews

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Frequently asked questions

Can I use this page to confirm TAMARA LYNN AXTELL (LMHCA, CDPT)'s NPI?
Yes. TAMARA LYNN AXTELL (LMHCA, CDPT) is listed with NPI 1578039566 in the public NPI dataset.
Does CMS list TAMARA LYNN AXTELL (LMHCA, CDPT) as active?
Yes — TAMARA LYNN AXTELL (LMHCA, CDPT) is active in the NPI listing used on this page.
What is TAMARA LYNN AXTELL (LMHCA, CDPT)'s primary classification?
Mental Health Counselor is the headline specialty for TAMARA LYNN AXTELL (LMHCA, CDPT) here. Clinical services aligned with this taxonomy classification.
Does TAMARA LYNN AXTELL (LMHCA, CDPT) list a practice location?
Patients near Maple Valley, Washington may find TAMARA LYNN AXTELL (LMHCA, CDPT) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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