Jasmine Wayne, in Southfield, MI - Medicare Mental Health Counselor Provider

Jasmine Wayne, is a medicare enrolled "Counselor - Professional" provider in Southfield, Michigan. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Evolutionary Intervention Llc and her current practice location is 17515 W 9 Mile Rd Ste 975, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 521-5051.

Jasmine Wayne is licensed to practice in Michigan (license number 6401017725) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215578745.

Contact Information

	Jasmine Wayne,
	17515 W 9 Mile Rd Ste 975, Southfield, MI 48075-4412
	(248) 521-5051
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jasmine Wayne
Gender	Female
Speciality	Mental Health Counselor
Experience	7 Years
Location	17515 W 9 Mile Rd Ste 975, Southfield, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jasmine Wayne graduated from medical school in 2019

NPI Data:

NPI Number: 1215578745
Provider Enumeration Date: 10/07/2019
Last Update Date: 04/06/2026

Medicare PECOS Information:

PECOS PAC ID: 9234589615
Enrollment ID: I20231227002280

Medical Identifiers

Medical identifiers for Jasmine Wayne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215578745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401017725 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evolutionary Intervention Llc	0244646610	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jasmine Wayne allows following entities to bill medicare on her behalf.

Entity Name	Evolutionary Intervention Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679846505 PECOS PAC ID: 0244646610 Enrollment ID: O20210309002954

Entity Name	Creative Care Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962137836 PECOS PAC ID: 6507202371 Enrollment ID: O20240314004023

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Wayne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jasmine Wayne, 17515 W 9 Mile Rd Ste 975, Southfield, MI 48075-4412 Ph: (248) 521-5051	Jasmine Wayne, 17515 W 9 Mile Rd Ste 975, Southfield, MI 48075-4412 Ph: (248) 521-5051

Reviews and Comments

Counselor in Southfield, MI

Stephanie Berg Wright, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 30503 Greenfield Rd, Southfield, MI 48076 Phone: 248-691-4744 Fax: 248-691-4745
Mrs. Gabriella Ann Gonzales, M.A., LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22170 W 9 Mile Rd, Southfield, MI 48033 Phone: 248-372-6800
Ms. Courtney Monet Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 29623 Northwestern Hwy Ste 6, Southfield, MI 48034 Phone: 313-932-5527 Fax: 313-731-1991
Dr. Nini A Green, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19785 W 12 Mile Rd # 464, Southfield, MI 48076 Phone: 248-224-1011 Fax: 248-621-7308
Ms. Jamika Diane Harris, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 29260 Franklin Rd Ste 123, Southfield, MI 48034 Phone: 313-608-1242
Kelly Danielle Treharne, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 22170 W 9 Mile Rd, Southfield, MI 48033 Phone: 248-372-6800
Ms. Adrienne Marie Streeter, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18441 Nadol Dr, Southfield, MI 48075 Phone: 248-910-1364

Jasmine Wayne, - Medicare Counselor in Southfield, MI