MS. JENNIFER J MIXSON MS, LPC
NPI 1396115960
Counselor - Professional in Midlothian, VA

Active since September 25, 2015PECOS EnrolledAccepts Medicare Assignment
15521 MIDLOTHIAN TPKE STE 105, MIDLOTHIAN, VA 23113(804) 207-6737 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jennifer J Mixson Ms, Lpc NPPES

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

MS. JENNIFER J MIXSON MS, LPC (NPI 1396115960) is an individual professional provider in Midlothian, Virginia, licensed in Virginia (0701006293) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396115960
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. JENNIFER J MIXSONCredential: MS, LPC
Location Address15521 MIDLOTHIAN TPKE STE 105Midlothian, VA 23113-7313
Mailing Address15521 Midlothian Tpke Ste 105Midlothian, VA 23113-7313 · (804) 207-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2015
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1396115960 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 · 0701006293
15521 MIDLOTHIAN TPKE STE 105, Midlothian, VA 23113

Other Names 1

Former Name (1)Mrs. Jennifer Mixson Randolph

Other Identifiers 1

Medicaid30016005760002VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer J Mixson Ms, 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 ID9234581158
PECOS Enrollment IDI20240116004597
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Mixson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
9202 CENTER OAK CT
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 239 clinicians in this Medicare group
Internal Medicine
8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 338 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
42 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services16 patients

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Nurse Practitioner (Psychiatric/Mental Health)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Counselor (Professional)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Social Worker (Clinical)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Social Worker (Clinical)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Counselor (Professional)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Counselor (Professional)
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113
Social Worker
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 23113

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 Jennifer Mixson's NPI number?

The NPI number for Jennifer Mixson is 1396115960. It was assigned to this individual provider in the NPPES registry on September 25, 2015. The provider is also known as Mrs. Jennifer Mixson Randolph.

Where is Jennifer Mixson located?

Jennifer Mixson practices at 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113. The listed phone number is (804) 207-6737.

What is Jennifer Mixson's specialty?

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

Is Jennifer Mixson enrolled in Medicare?

Yes. Jennifer Mixson 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.

Which organizations bill Medicare for Jennifer Mixson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mixson reassigns Medicare benefits to 2 organizations: Commonwealth Counseling Associates Inc (Mechanicsville, VA) and Curana Health Medical Group LLC (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Mixson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Mixson was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.