Jamie Lee Washington, LCMHC, LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A13548 Issued in NC

Practice address

2310 S Miami Blvd Ste 136
Durham, NC 27703-5799

Phone

(919) 797-0549

NPI assigned

Oct 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jamie Lee Washington Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moment of Change Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Henderson, NC
  • NPI 1972123487

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Pathways to Life, Inc

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1982758215
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1366954356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 RETAIL DR # 1051",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877352",
            "telephone_number": "252-572-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 136",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-797-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "943 W Andrews Ave Ste P",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275362587",
            "country_code": "US",
            "telephone_number": "919-521-1413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCMHC, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13548",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS24086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "943 W Andrews Ave Ste P",
            "city": "Henderson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275362587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WASHINGTON",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "LCMHC, LCAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Poliala Warwick
• Raymond Edward Wase Jr., MD
• Tinashe Washaya
• Briana Washington
• Edward Holt Washington Jr., D. C.
• Katherine Michelle Selby Washington, MSW, LCSW
• Lacey Washington, MD
• Lanise Washington
• Michelle Washington
• Ulaine Rita Washington, P-LCSW, LCAS-P

• Professional Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.