Jasmine Nicole Walters, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2202826 Issued in OH

Practice address

510 N Leavitt Rd
Amherst, OH 44001-1131

Phone

(440) 644-0745

NPI assigned

Aug 30, 2016

Last updated

Nov 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolve Counseling, LLC

  • Counselor
  • Amherst, OH
  • NPI 1083299622
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1689120651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436046955",
            "telephone_number": "419-244-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011131",
            "telephone_number": "440-644-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JASMINE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2202826",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.1600092-TRNE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella J Valentine, P.T.
• Meredith Lynn Vandongen, OTR/L
• Briana Violand, BBA, IBCLC, CSC
• Timothy John Wagner, DO
• David Wakelee
• Watson Wellness, Inc
• Jeremy W Watson, D.C.
• Ronald Carl Watson, DC
• Susan Watson
• Virginia Webb

• Mental Health Counselor in Amherst, OH
• Providers in Amherst, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.