Individual provider Active NPI

Viktor Jakab, LPC

  • Professional Counselor
  • Shelton, CT
National Provider Identifier
1710344668
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002866 Issued in CT
Practice address
525 Bridgeport Ave Ste 104
Shelton, CT 06484-4700
Phone
(203) 208-6282
Fax
(203) 303-9467
NPI assigned
Jan 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 002866 CT Primary

Addresses

Primary practice location

525 Bridgeport Ave Ste 104
Shelton, CT 06484-4700

Mailing address

137 Howe Ave Apt 4
Shelton, CT 06484-4122
Phone (203) 208-6282

Other identifiers 1

IdentifierTypeStateIssuer
1710344668MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240327002378 CT Practitioner - Mental Health Counselor 4880031707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 Bridgeport Ave
Suite 104
Shelton, CT 06484-4700
Phone (203) 208-6282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002866CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fidanexa Counseling, PLLC Professional CurrentSince Nov 23, 2023 Accepting new patients

Locations

1 Enterprise Dr
Ste 420
Shelton, CT 06484
Phone (203) 580-6879

4 Research Dr
Ste 402
Shelton, CT 06484
Phone (203) 293-9300

525 Bridgeport Ave
Ste 104
Shelton, CT 06484
Phone (203) 200-0608

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1710344668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 HOWE AVE APT 4",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844122",
            "telephone_number": "203-208-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRIDGEPORT AVE STE 104",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844700",
            "telephone_number": "203-208-6282",
            "fax_number": "203-303-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKAB",
        "first_name": "VIKTOR",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-23",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710344668",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.