Individual provider Active NPI

Jasmarina Lynn Walshire

  • Marriage & Family Therapist
  • Sachse, TX
National Provider Identifier
1619773322
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
151572 Issued in CA
Practice address
3220 Bunker Hill Rd Apt 3439
Sachse, TX 75048-5044
Phone
(319) 249-4797
NPI assigned
Feb 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 151572 CA Primary

Addresses

Primary practice location

3220 Bunker Hill Rd Apt 3439
Sachse, TX 75048-5044

Mailing address

3220 Bunker Hill Rd Apt 3439
Sachse, TX 75048-5044
Phone (319) 249-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250312002697 CA Practitioner - Marriage and Family Therapist 8123549649 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151572CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Jan 24, 2025 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Apr 8, 2025 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1619773322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BUNKER HILL RD APT 3439",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750485044",
            "telephone_number": "319-249-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BUNKER HILL RD APT 3439",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750485044",
            "telephone_number": "319-249-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSHIRE",
        "first_name": "JASMARINA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

Verify at the official NPI Registry.