Healthcare Provider Details

I. General information

NPI: 1144648619
Provider Name (Legal Business Name): JASMINE CARLEN WOOD LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 SE 14TH LOOP STE 101F
BATTLE GROUND WA
98604-4891
US

IV. Provider business mailing address

819 SE 14TH LOOP STE 101F
BATTLE GROUND WA
98604-4891
US

V. Phone/Fax

Practice location:
  • Phone: 971-208-5853
  • Fax:
Mailing address:
  • Phone: 971-208-5853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC4161
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60589822
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: