MEDICARE: EXPANDING CONSCIOUSNESS COUNSELING & CONSULTING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790615177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXPANDING CONSCIOUSNESS COUNSELING & CONSULTING PLLC

Provider Business Mailing Address
First Line	:	8490 MUKILTEO SPEEDWAY STE 112
Second Line	:
City	:	MUKILTEO
State	:	WA
Zip	:	98275-3208
Country	:	US
Telephone Number	:	425-309-7942
Fax Number	:	425-551-7227

Provider Business Practice Location Address
First Line	:	8490 MUKILTEO SPEEDWAY STE 112
Second Line	:
City	:	MUKILTEO
State	:	WA
Zip	:	98275-3208
Country	:	US
Telephone Number	:	425-309-7942
Fax Number	:	425-551-7227

Authorized Official
Title or Position	:	BUSINESS OWNER, THERAPIST
Name	:	JASMINE WILSON
Credential	:	LMHC
Telephone Number	:	425-309-7942

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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