JASMINE DIAMOND WADE MA, LLPC
NPI 1841641511
Counselor - Professional in Detroit, MI

Active since June 23, 2016PECOS Enrolled
17250 PATTON ST, DETROIT, MI 48219(248) 773-2363 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Jun 23, 2016 (2 updates tracked since 2016).

About Jasmine Diamond Wade Ma, Llpc NPPES

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

JASMINE DIAMOND WADE MA, LLPC (NPI 1841641511) is an individual professional provider in Detroit, Michigan, licensed in Michigan (6451023129) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841641511
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJASMINE DIAMOND WADECredential: MA, LLPC
Location Address17250 PATTON STDetroit, MI 48219-4725
Mailing Address17250 Patton StDetroit, MI 48219-4725 · (248) 773-2363
Sole ProprietorNo
Enumeration DateJune 23, 2016
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
NPI 1841641511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6451023129
17250 PATTON ST, Detroit, MI 48219

Other Names 1

Former Name (1)Jasmine Diamond Bartell

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jasmine Diamond Wade Ma, Llpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 NPPES & CMS

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

What is Jasmine Wade's NPI number?

The NPI number for Jasmine Wade is 1841641511. It was assigned to this individual provider in the NPPES registry on June 23, 2016. The provider is also known as Jasmine Diamond Bartell.

Where is Jasmine Wade located?

Jasmine Wade practices at 17250 Patton St, Detroit, MI 48219. The listed phone number is (248) 773-2363.

What is Jasmine Wade's specialty?

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

Is Jasmine Wade enrolled in Medicare?

Yes. Jasmine Wade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jasmine Wade was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.