1. Home
  2. Directory
  3. Virginia
  4. Cedar Bluff
  5. Counselor
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JIMMY D WIDENER LPC
NPI 1386684215
Counselor - Professional in Cedar Bluff, VA

Active since June 08, 2006PECOS Enrolled
RTE 19 - 460, CEDAR BLUFF, VA 24609(276) 964-6702(276) 964-5669 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmy D Widener Lpc NPPES

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

JIMMY D WIDENER LPC (NPI 1386684215) is an individual professional provider in Cedar Bluff, Virginia, licensed in Virginia (VA0701003500) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1386684215
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJIMMY D WIDENERCredential: LPC
Location AddressRTE 19 - 460Cedar Bluff, VA 24609
Mailing AddressPo Box 810Cedar Bluff, VA 24609 · (276) 964-6702 · Fax (276) 964-5669
Phone(276) 964-6702
Fax(276) 964-5669
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386684215 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 VA · VA0701003500
RTE 19 - 460, Cedar Bluff, VA 24609
Open in Google Maps ↗

Other Identifiers 1

Other278380VA · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jimmy D Widener Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860929726
PECOS Enrollment IDI20241217002600
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

JENNIFER ROARK LPC
Counselor (Professional)
RTE 19 - 460
CEDAR BLUFF, VA 24609
Russell County (276) 964-6702

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 Jimmy Widener's NPI number?

The NPI number for Jimmy Widener is 1386684215. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jimmy Widener located?

Jimmy Widener practices at Rte 19 - 460, Cedar Bluff, VA 24609. The listed phone number is (276) 964-6702.

What is Jimmy Widener's specialty?

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

Is Jimmy Widener enrolled in Medicare?

Yes. Jimmy Widener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jimmy Widener was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.