JACLYN MIXELL
NPI 1114891025
Counselor - Professional in Saint Louis, MO

Active since October 02, 2025
1612 S BIG BEND BLVD, SAINT LOUIS, MO 63117(314) 529-1391 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Mixell NPPES

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

JACLYN MIXELL (NPI 1114891025) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2025025003) and active in the NPI registry since October 2025. She maintains a secondary practice location in Ferguson.

NPPES Registry Identity

NPI1114891025
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACLYN MIXELL
Location Address1612 S BIG BEND BLVDSaint Louis, MO 63117-2208
Mailing Address1612 S Big Bend BlvdSaint Louis, MO 63117-2208
Sole ProprietorNo
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1114891025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2025025003
1612 S BIG BEND BLVD, Saint Louis, MO 63117

Secondary Practice Location 1

Location 1409 S Florissant Rd Ste 101Ferguson, MO 63135-2894 · Phone (314) 529-1391

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1612 S BIG BEND BLVD
RICHMOND HEIGHTS, MO 63117
Counselor (Mental Health)
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117
Counselor (Mental Health)
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117
Counselor (Mental Health)
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117
Community/Behavioral Health
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117
Counselor (Professional)
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117
Counselor (Mental Health)
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117
Counselor (Professional)
1612 S BIG BEND BLVD
SAINT LOUIS, MO 63117

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 Jaclyn Mixell's NPI number?

The NPI number for Jaclyn Mixell is 1114891025. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Jaclyn Mixell located?

Jaclyn Mixell practices at 1612 S Big Bend Blvd, Saint Louis, MO 63117. The listed phone number is (314) 529-1391.

What is Jaclyn Mixell'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 Jaclyn Mixell was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.