Jody Elizabeth Axt
Individual provider Active NPI Professional Counselor · Bristol, CT
NPI 1619837804 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1619837804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1 Hope St
Bristol, CT 06010-6374 - Phone
- (860) 793-4206
- NPI assigned
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
1 Hope St
Bristol, CT 06010-6374
Mailing address
54 Grieb TRL
Wallingford, CT 06492-2659
Phone (860) 793-4206
Other providers in Bristol, CT
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- Therese Audet-Shilinga
- Lauren Adele Austin
- Tanya Chiarelli Ave'Lallemant
- Awakened Potential Therapy
- Ellen D Babcock
- Nicole Ann Bacon
- Carlos Manuel Badiola
- Ara D Bagdasarian
- Rainer Wolf Bagdasarian
All providers in Bristol, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.