Jasmine Antoneese Ward, ALC, CCM

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC04268 Issued in AL

Practice address

1436 Hickory LN
Birmingham, AL 35235-1619

Phone

(205) 521-2397

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1902679293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 HICKORY LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352351619",
            "telephone_number": "205-521-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 HICKORY LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352351619",
            "telephone_number": "205-521-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JASMINE",
        "middle_name": "ANTONEESE",
        "credential": "ALC, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Liu Ward
• Annabel Grace Ward
• Ayofemi Ward, CRNP
• Ciera Faith Ward
• Elizabeth Whitton Ward
• John Arthur Ward, MD
• Kaylie Ward, DO
• Marcia Elaine Ward, N.P.-C
• Megan Diane Ward, MD
• Patrick L Ward, CRNA

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.