Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Gill Wayne Jasmine Jr., LPC

Individual provider Professional Counselor · NPI 1194343723

Mr. Gill Wayne Jasmine Jr., LPC is a Mental Health Counselor in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Licensed in Louisiana and Pennsylvania.

Years since qualifying
6
Licensed in
LA, PA
In the registry since
2020
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1415 N 31st St Apt 309
Philadelphia, PA 19121-3641
Phone: (985) 817-5705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8488 (LA)
Professional Counselor Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X
Professional Counselor Taxonomy 101YP2500X · Licence PC018919 (PA)

Record details

NPI number1194343723
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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