Individual provider Active NPI

Jasmine Erika Real Cupin-Davenport, MS, NCC

  • Professional Counselor
  • Midlothian, VA
National Provider Identifier
1487438461
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014662 Issued in VA
Practice address
13817 Village Mill Dr Ste R
Midlothian, VA 23114-4378
Phone
(804) 537-2024
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014662 VA Primary

Addresses

Primary practice location

13817 Village Mill Dr Ste R
Midlothian, VA 23114-4378

Mailing address

13817 Village Mill Dr Ste R
Midlothian, VA 23114-4378

Other names 1

  • Jasmine Erika Real Cupin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20260514000504 VA Practitioner - Mental Health Counselor 5193294601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701014662VAMDProfessional Counselor

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1487438461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 VILLAGE MILL DR STE R",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 VILLAGE MILL DR STE R",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144378",
            "telephone_number": "804-537-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPIN-DAVENPORT",
        "first_name": "JASMINE ERIKA",
        "middle_name": "REAL",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE ERIKA",
            "last_name": "CUPIN",
            "middle_name": "REAL",
            "credential": "MS, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.