MRS. JASMINE DEARBORN LPC
NPI 1033993613
Counselor - Professional in Reston, VA

Active since August 23, 2023PECOS EnrolledAccepts Medicare Assignment
12007 SUNRISE VALLEY DR STE 300, RESTON, VA 20191(804) 207-6737 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2025, Aug 23, 2023 (2 updates tracked since 2023).

About Mrs. Jasmine Dearborn Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JASMINE DEARBORN LPC (NPI 1033993613) is an individual professional provider in Reston, Virginia, licensed in Virginia (0701015514) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1033993613
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JASMINE DEARBORNCredential: LPC
Location Address12007 SUNRISE VALLEY DR STE 300Reston, VA 20191-3446
Mailing Address12007 Sunrise Valley Dr Ste 300Reston, VA 20191-3446 · (804) 207-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2023
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1033993613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701015514
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0704016533 (VA)
12007 SUNRISE VALLEY DR STE 300, Reston, VA 20191

Other Names 1

Former Name (1)Miss Jasmine Iseri

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jasmine Dearborn Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911498167
PECOS Enrollment IDI20251114003147
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jasmine Dearborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
9202 CENTER OAK CT
Mechanicsville, VA 23116
  • Reassigned Medicare billing, District of Columbia enrollment
  • 65 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Psychiatry & Neurology (Psychiatry)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Social Worker (Clinical)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191
Counselor (Professional)
12007 SUNRISE VALLEY DR STE 300
RESTON, VA 20191

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Dearborn's NPI number?

The NPI number for Jasmine Dearborn is 1033993613. It was assigned to this individual provider in the NPPES registry on August 23, 2023. The provider is also known as Miss Jasmine Iseri.

Where is Jasmine Dearborn located?

Jasmine Dearborn practices at 12007 Sunrise Valley Dr Ste 300, Reston, VA 20191. The listed phone number is (804) 207-6737.

What is Jasmine Dearborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jasmine Dearborn enrolled in Medicare?

Yes. Jasmine Dearborn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jasmine Dearborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Dearborn reassigns Medicare benefits to Commonwealth Counseling Associates Inc (Mechanicsville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jasmine Dearborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jasmine Dearborn was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.