Individual provider · Type 1 NPI
Jill Waite, PhD
Mental Health Counselor · Moodus, CT
NPI number
1992130116
Active
Practice location
PO Box 417
Moodus, CT 06469-0417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8815 (CT) |
| Mental Health Counselor | 101YM0800X | 2370 (NH) |
Mental Health Counselor: Definition to come...
About NPI 1992130116
Jill Waite, PhD's National Provider Identifier is 1992130116, issued on Sep 6, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moodus, CT. The record was last updated on Nov 16, 2025.