Jazmine Camille Wood

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704012204 Issued in VA

Practice address

408 S Sycamore St Ste 4
Petersburg, VA 23803-5043

Phone

(804) 668-7217

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1376206102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238340613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S SYCAMORE ST STE 4",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035043",
            "telephone_number": "804-668-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JAZMINE",
        "middle_name": "CAMILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704012204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Wilson
• Pamela Lorraine Winfield, LPC
• Cheryl Denise Winston, NURSE PRACTITIONER
• James Lavon Winston, FNP
• Latrice Winston III, LPC
• Jennifer Wood, FNP-BC
• Imoni Malika Patrice Woodberry, LPC
• Altamarie Woods
• Rebecca Maxine Wyatt, CADC, CCJP, CSC
• Brenda C Wyche, LPC

• Mental Health Counselor in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.