Jasmine V Bascombe, LMFT., C.A.P.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ft Lauderdale, FL
NPI 1467660381 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1467660381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1807 (FL)
- Practice address
- 900 NW 31St Ave
Suite 2000
Ft Lauderdale, FL 33311-6653 - Phone
- (954) 357-5082
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1807 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MT1649 | FL | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1807 | FL | Yes |
| Marriage & Family Therapist | 106H00000X | MT1649 | FL |
Addresses
Primary practice location
900 NW 31St Ave
Suite 2000
Ft Lauderdale, FL 33311-6653
Mailing address
900 NW 31St Ave
Suite 2000
Ft Lauderdale, FL 33311-6653
Phone (954) 357-5082
Other providers in Ft Lauderdale, FL
- Sasha Bartlett
- Francesca Bartoccini
- Bruce L Bartos
- Heather Danielle Basagoitia
- Liana Basceanu-Sarbu
- John Hardy Bascome V
- Pamela Macabulos Basilio
- Biljana Baskot
- William Wayne Bassett
- James W. Basta
All providers in Ft Lauderdale, FL · Addiction (Substance Use Disorder) Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.