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

Jasmine Wayne

Individual provider Professional Counselor · NPI 1215578745

Jasmine Wayne is a Mental Health Counselor in Southfield, Michigan. Qualified in 2019, 7 years ago. Practices with Evolutionary Intervention LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

17515 W 9 Mile Rd Ste 975
Southfield, MI 48075-4412
Phone: (248) 521-5051
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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 6401017725 (MI)

Record details

NPI number1215578745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Evolutionary Intervention Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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