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

Q: 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.

Q: What is Jennifer Mixson's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

On this page

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

Phone(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

Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Jennifer Mixson Randolph

Other Identifiers 1

Medicaid30016005760002VA

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

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.

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

Leave this field empty

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.

JASMINE MARIE POLLARD LPC-R

Counselor (Professional)