Individual provider Active NPI

Jodi Lynn Axe, CAC, CCJS, MFT, SAP

  • Addiction (Substance Use Disorder) Counselor
  • Oliver, PA
National Provider Identifier
1386811917
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
281 Washington St.
Oliver, PA 15472
Phone
(724) 438-3576
NPI assigned
May 13, 2008
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

281 Washington St.
Oliver, PA 15472

Mailing address

100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251223004695 PA Practitioner - Mental Health Counselor 4880189158 Practice locations: Carnegie, PA; Greensburg, PA; Pittsburgh, PA; Uniontown, PA; Washington, PA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Uniontown, PA 15401
Phone (412) 691-0700

355 5TH Ave
Suite 1419
Pittsburgh, PA 15222-2407
Phone (412) 246-8965

378 W Chestnut St
Suite 106
Washington, PA 15301-4661
Phone (412) 246-8965

505 E Main St
FL 1
Carnegie, PA 15106-2080
Phone (412) 246-8965

766 E Pittsburgh St
Suite 101
Greensburg, PA 15601-2678
Phone (412) 691-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Addiction Recovery, LLC Past Accepting new patients
Southwestern Pennsylvania Neurology Associates LTD Past Accepting new patients

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1386811917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 106",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WASHINGTON ST.",
            "city": "OLIVER",
            "state": "PA",
            "postal_code": "15472",
            "telephone_number": "724-438-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXE",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "CAC, CCJS, MFT, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.