Individual provider Active NPI

Jasmine Wilson, LMHC, MT-BC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1396468179
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61596242 Issued in WA
Practice address
150 Nickerson St Ste 204
Seattle, WA 98109-1634
Phone
(619) 693-2586
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 12956 MN
Mental Health Counselor 101YM0800X LH61596242 WA Primary

Addresses

Primary practice location

150 Nickerson St Ste 204
Seattle, WA 98109-1634

Mailing address

150 Nickerson St Ste 204
Seattle, WA 98109-1634
Phone (619) 693-2586

Other names 1

  • Jasmine Tilden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 11, 2024 through Nov 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH61596242WAMDMental Health Counselor
12956MNMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Expanding Consciousness Counseling & Consulting PLLC Mental Health Current Accepting new patients

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1396468179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NICKERSON ST STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091634",
            "telephone_number": "619-693-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NICKERSON ST STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091634",
            "telephone_number": "619-693-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASMINE",
        "credential": "LMHC, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "MN",
            "license": "12956",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61596242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "TILDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.