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MINNA R JACKSON LPC
NPI 1013034362
Counselor - Professional in Blacksburg, VA

Active since March 23, 2007
100 ARDMORE ST STE 304, BLACKSBURG, VA 24060(276) 613-4273 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2025, Jun 20, 2024, Oct 11, 2023 and 1 more (4 updates tracked since 2021).

About Minna R Jackson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNA R JACKSON LPC (NPI 1013034362) is an individual professional provider in Blacksburg, Virginia, licensed in Virginia (0701003660) and active in the NPI registry since March 2007. She maintains a secondary practice location in Blacksburg.

NPPES Registry Identity

NPI1013034362
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMINNA R JACKSONCredential: LPC
Location Address100 ARDMORE ST STE 304Blacksburg, VA 24060-5802
Mailing Address201 Mateer CirBlacksburg, VA 24060-5555 · (276) 613-4273
Phone(276) 613-4273
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateMarch 14, 20254 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1013034362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701003660
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701003660 (VA)
100 ARDMORE ST STE 304, Blacksburg, VA 24060
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Secondary Practice Location 1

Location 1201 Mateer CirBlacksburg, VA 24060-5555 · Phone (276) 613-4273

Other Identifiers 1

Medicaid004945298VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minna Jackson's NPI number?

The NPI number for Minna Jackson is 1013034362. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Minna Jackson located?

Minna Jackson practices at 100 Ardmore St Ste 304, Blacksburg, VA 24060. The listed phone number is (276) 613-4273.

What is Minna Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Minna Jackson was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.