Individual provider Active NPI

Jacque Lynne Washkwich, PH.D.

  • Clinical Psychologist
  • Asheville, NC
National Provider Identifier
1811944408
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2872 Issued in NC
Practice address
27 Joyner Ave
Asheville, NC 28806-4307
Phone
(828) 280-2274
NPI assigned
May 28, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2872 NC Primary

Addresses

Primary practice location

27 Joyner Ave
Asheville, NC 28806-4307

Mailing address

27 Joyner Ave
Asheville, NC 28806-4307
Phone (828) 280-2274

Other practice location 1

7 Vanderbilt Ter
Asheville, NC 28806-9503
Phone (828) 280-2274

Other identifiers 2

IdentifierTypeStateIssuer
6000533MedicaidNC
Q431900281MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050304000255 NC Practitioner - Clinical Psychologist 0941282883 Practice locations: Asheville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Joyner Ave
Asheville, NC 28806-4307

491 Kimberly Ave
Apt 1
Asheville, NC 28804-2657
Phone (828) 280-2274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Engaged Behavioral Health Clinical CurrentSince Apr 24, 2013 Accepting new patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients
Michael J Faulkner PastSince Apr 24, 2013 Accepting new patients

Locations

20 Battery Park Ave
Ste 800
Asheville, NC 28801
Phone (828) 231-1001

9 SW Pack Sq
Ste 204E8
Asheville, NC 28801
Phone (828) 231-1001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1811944408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JOYNER AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064307",
            "telephone_number": "828-280-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 JOYNER AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288064307",
            "telephone_number": "828-280-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Vanderbilt Ter",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288069503",
            "country_code": "US",
            "telephone_number": "828-280-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHKWICH",
        "first_name": "JACQUE LYNNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000533",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q431900281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.