Individual provider Active NPI

Tamara Lynn Axtell, LMHCA, CDPT

  • Mental Health Counselor
  • Belfair, WA
National Provider Identifier
1578039566
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61032658 Issued in WA
Practice address
10 NE Creelman LN Ste B
Belfair, WA 98528-4002
Phone
(425) 429-7673
Fax
(425) 207-4909
NPI assigned
Oct 17, 2018
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61032658 WA Primary

Addresses

Primary practice location

10 NE Creelman LN Ste B
Belfair, WA 98528-4002

Mailing address

10 NE Creelman LN Ste B
Belfair, WA 98528-4002
Phone (425) 429-7673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211003261 WA Practitioner - Mental Health Counselor 4284113085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH61032658WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Tamara Axtell Counseling, PLLC Mental Health CurrentSince May 16, 2021 Accepting new patients

Locations

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

30741 3rd Ave
Ste 163
Black Diamond, WA 98010
Phone (425) 429-7673

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1578039566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 NE CREELMAN LN STE B",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985284002",
            "telephone_number": "425-429-7673",
            "fax_number": "425-207-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NE CREELMAN LN STE B",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985284002",
            "telephone_number": "425-429-7673",
            "fax_number": "425-207-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTELL",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "LMHCA, CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61032658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belfair, WA

Sources for this page

Verify at the official NPI Registry.