KAREN LYNN BRADLEY JACKSON LPC
NPI 1972892685
Counselor - Professional in Pounding Mill, VA
About Karen Lynn Bradley Jackson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN LYNN BRADLEY JACKSON LPC (NPI 1972892685) is an individual professional provider in Pounding Mill, Virginia, licensed in Virginia (0701004867) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Karen Lynn Bradley Jackson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karen Bradley Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pounding Mill, VA 24637
- Reassigned Medicare billing, Virginia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
POUNDING MILL, VA 24637
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 Karen Bradley Jackson's NPI number?
The NPI number for Karen Bradley Jackson is 1972892685. It was assigned to this individual provider in the NPPES registry on April 4, 2011.
Where is Karen Bradley Jackson located?
Karen Bradley Jackson practices at 268 Martin St, Pounding Mill, VA 24637. The listed phone number is (276) 873-2577.
What is Karen Bradley Jackson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Karen Bradley Jackson enrolled in Medicare?
Yes. Karen Bradley Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Karen Bradley Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Bradley Jackson reassigns Medicare benefits to Appalachian Counseling Services One,inc. (Pounding Mill, VA). The 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 Karen Bradley Jackson'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 Karen Bradley Jackson was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.
# Karen Lynn Bradley Jackson, LPC · NPI 1972892685
Professional provider in Pounding Mill, Virginia. Individual provider, active in the CMS NPPES registry since April 4, 2011.
## Identity
- **NPI:** 1972892685 (Entity type: Individual)
- **Enumerated:** April 4, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701004867 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 268 MARTIN ST, Pounding Mill, VA 24637-4169
- **Phone:** (276) 873-2577 · **Fax:** (276) 598-4670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Appalachian Counseling Services One,inc. (NPI 1770471583, Pounding Mill, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972892685) · Data from the CMS NPPES public registry.