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MR. GILL WAYNE JASMINE JR. LPC
NPI 1194343723
Counselor - Professional in Philadelphia, PA

Active since July 09, 2020PECOS Enrolled
1415 N 31ST ST APT 309, PHILADELPHIA, PA 19121(985) 817-5705 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2026, Jun 26, 2024, Jun 15, 2023 and 1 more (4 updates tracked since 2020).

About Mr. Gill Wayne Jasmine Jr. Lpc NPPES

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

MR. GILL WAYNE JASMINE JR. LPC (NPI 1194343723) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Louisiana (8488) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194343723
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. GILL WAYNE JASMINE JR.Credential: LPC
Location Address1415 N 31ST ST APT 309Philadelphia, PA 19121-3641
Mailing Address1415 N 31st St Apt 309Philadelphia, PA 19121-3641 · (985) 817-5705
Phone(985) 817-5705
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateMarch 12, 20264 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1194343723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in LA · 8488✔ Licensed in PA · PC018919
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1415 N 31ST ST APT 309, Philadelphia, PA 19121
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Other Identifiers 1

MedicaidN00212795LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gill Wayne Jasmine Jr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800249871
PECOS Enrollment IDI20260430001255
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.

Frequently Asked Questions

What is Gill Jasmine's NPI number?

The NPI number assigned to this healthcare provider is 1194343723, enumerated as an "individual" on July 09, 2020.

Where is the provider located?

The provider is located at 1415 N 31ST ST APT 309 PHILADELPHIA, PA 19121 and the phone number is (985) 817-5705.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.

What insurance does Gill Jasmine accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.