MINDY R. JACKSON, LPC
NPI 1568037190
Counselor - Professional in Blacksburg, VA

Active since May 25, 2021
1901 S MAIN ST STE 4A, BLACKSBURG, VA 24060(540) 820-4242 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2025, Jun 3, 2021, May 25, 2021 (3 updates tracked since 2021).

About Mindy R. Jackson, Lpc NPPES

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

MINDY R. JACKSON, LPC (NPI 1568037190), doing business as Willow Path Counseling And Consulting, is a healthcare organization registered as a professional in Blacksburg, Virginia and active in the NPI registry since May 2021. The organization lists Minna R Jackson, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1568037190
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMINDY R. JACKSON, LPC
Location Address1901 S MAIN ST STE 4ABlacksburg, VA 24060-6628
Mailing Address1901 S Main St Ste 4aBlacksburg, VA 24060-6628 · (540) 820-4242
Organization SubpartNo
Authorized OfficialMinna R JacksonOwner/member · (540) 820-4242
Enumeration DateMay 25, 2021
Last NPPES UpdateDecember 28, 20253 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
NPI 1568037190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1901 S MAIN ST STE 4A, Blacksburg, VA 24060

Other Names 2

Doing Business AsWillow Path Counseling And Consulting
Doing Business AsWillowbrook Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mindy R. Jackson, Lpc's NPI number?

The NPI number for Mindy R. Jackson, Lpc is 1568037190. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is doing business as Willow Path Counseling and Consulting and Willowbrook Counseling.

Where is Mindy R. Jackson, Lpc located?

Mindy R. Jackson, Lpc is located at 1901 S Main St Ste 4A, Blacksburg, VA 24060. The listed phone number is (540) 820-4242.

What is Mindy R. Jackson, Lpc'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 Mindy R. Jackson, Lpc was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.