Active NPI
Jasmine Nakida Gillison, LPC
- Professional Counselor
- Woodbridge, VA
National Provider Identifier
1043146178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701016180
- Practice address
- 15941 Donald Curtis Dr
Woodbridge, VA 22191-4292 - Phone
- (703) 577-9679
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701016180 | VA | Primary |
Addresses
Primary practice location
15941 Donald Curtis Dr
Woodbridge, VA 22191-4292
Mailing address
4796 Dane Ridge Cir
Woodbridge, VA 22193-6519
Phone (703) 577-9679
Other practice location 1
4796 Dane Ridge Cir
Woodbridge, VA 22193-6519
Phone (703) 577-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4796 Dane Ridge Cir
Woodbridge, VA 22193-6519
7969 Ashton Ave
Manassas, VA 20109-2885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1043146178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4796 DANE RIDGE CIR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221936519",
"telephone_number": "703-577-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15941 DONALD CURTIS DR",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914292",
"telephone_number": "703-577-9679"
}
],
"practiceLocations": [
{
"address_1": "4796 Dane Ridge Cir",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221936519",
"country_code": "US",
"telephone_number": "703-577-9679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLISON",
"first_name": "JASMINE",
"middle_name": "NAKIDA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701016180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.