Individual provider Active NPI

Jasmine Parker

  • School Counselor
  • San Bernardino, CA
National Provider Identifier
1255294872
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
1777 W Base Line St
San Bernardino, CA 92411-1648
Phone
(909) 757-7531
Fax
(909) 757-7531
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X CA Primary

Addresses

Primary practice location

1777 W Base Line St
San Bernardino, CA 92411-1648

Mailing address

1777 W Base Line St
San Bernardino, CA 92411-1648
Phone (909) 757-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodward Leadership Academy CurrentSince Dec 14, 2025 Accepting new patients

Locations

1777 W Base Line St
San Bernardino, CA 92411
Phone (909) 757-7531

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1255294872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W BASE LINE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111648",
            "telephone_number": "909-757-7531",
            "fax_number": "909-757-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W BASE LINE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111648",
            "telephone_number": "909-757-7531",
            "fax_number": "909-757-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JASMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.