MEDICARE: MS. JENNIFER J MIXSON MS, LPC

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	101YP2500X	Professional Counselor	0701006293	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396115960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER J MIXSON MS, LPC

Provider Business Mailing Address
First Line	:	15521 MIDLOTHIAN TPKE STE 105
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-7313
Country	:	US
Telephone Number	:	804-207-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	15521 MIDLOTHIAN TPKE STE 105
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-7313
Country	:	US
Telephone Number	:	804-207-6737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2015
Last Update Date	:	11/28/2023

Similar Medicare Providers

1558318972 — DR. JASON HURST D.C.
Practice Location Address:

15521 MIDLOTHIAN TPKE STE 402
MIDLOTHIAN, VA
23113-7313

Practice Phone: 804-399-0123
Practice Fax:

1952503690 — EMILY J GARRETT-PRUETT RN, FNP, PMHNP-BC
Practice Location Address:

15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA
23113-7313

Practice Phone: 804-207-6737
Practice Fax:

1730332966 — DR. JACKYE KIM DC
Practice Location Address:

15521 MIDLOTHIAN TPKE STE 402
MIDLOTHIAN, VA
23113-7313

Practice Phone: 804-399-0002
Practice Fax:

1811140056 — INTEGRATIVE HEALTH LLC
Practice Location Address:

15521 MIDLOTHIAN TPKE STE 402
MIDLOTHIAN, VA
23113-7313

Practice Phone: 804-399-0002
Practice Fax:

1407169980 — ANGELA WILSON MA, LPC
Practice Location Address:

15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA
23113-7313

Practice Phone: 804-207-6737
Practice Fax:

1326322868 — MS. LINDA G BARKER LCSW
Practice Location Address:

15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA
23113-7313

Practice Phone: 804-207-6737
Practice Fax:

Directions to “ MS. JENNIFER J MIXSON MS, LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.