Active NPI
Jasmine Kay Jackson
- Peer Specialist
- Vancouver, WA
National Provider Identifier
1922803022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 10604 NE Highway 99
Vancouver, WA 98686-5613 - Phone
- (360) 644-1631
- NPI assigned
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | WA | Primary | |
| Counselor | 101Y00000X | WA |
Addresses
Primary practice location
10604 NE Highway 99
Vancouver, WA 98686-5613
Mailing address
10604 NE Highway 99
Vancouver, WA 98686-5613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1922803022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10604 NE HIGHWAY 99",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986865613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10604 NE HIGHWAY 99",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986865613",
"telephone_number": "360-644-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JASMINE",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WA",
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.