Individual provider Active NPI

Jasmine Trisia York

  • Counselor
  • Washington, DC
National Provider Identifier
1497341762
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2437 15TH St NW
Washington, DC 20009-4101
Phone
(202) 765-3757
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X DC Primary

Addresses

Primary practice location

2437 15TH St NW
Washington, DC 20009-4101

Mailing address

3817 Early Glow LN
Bowie, MD 20716-3361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240821000817 MD Practitioner - Mental Health Counselor 4183162191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1151 Bladensburg Rd NE
Suite 101
Washington, DC 20002-8971

3 Trotters Ridge CT
Catonsville, MD 21228-5394

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Solutions, LLC CurrentSince Jun 24, 2024 Accepting new patients
One Common Unity, Inc. PastSince Dec 27, 2020 Accepting new patients

Locations

5550 Sterrett Pl
Ste 200
Columbia, MD 21044
Phone (410) 884-6031

Organizations & group practices 2

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1497341762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 EARLY GLOW LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 15TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094101",
            "telephone_number": "202-765-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "JASMINE",
        "middle_name": "TRISIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.