Ms Jennifer J Mixson, MS, LPC | |
15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 | |
(804) 207-6737 | |
Not Available |
Full Name | Ms Jennifer J Mixson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 15521 Midlothian Tpke Ste 105, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396115960 | NPI | - | NPPES |
30016005760002 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701006293 (Virginia) | Primary |
Entity Name | Commonwealth Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20040710000183 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer J Mixson, MS, LPC 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 Ph: (804) 207-6737 | Ms Jennifer J Mixson, MS, LPC 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113-7313 Ph: (804) 207-6737 |
Catherine Desaussure Ogletree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Waterford Lake Dr Ste 102, Midlothian, VA 23112 Phone: 894-658-4509 | |
Ms. Lynda Hale Leslie, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1700 Huguenot Rd, Suite D, Midlothian, VA 23113 Phone: 804-263-3775 Fax: 804-325-1670 | |
Mr. Anthony Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Colgrave Rd, Midlothian, VA 23112 Phone: 804-301-9219 | |
Tonya Osmond, Counselor Medicare: Medicare Enrolled Practice Location: 13817 Village Mill Dr Unit R, Midlothian, VA 23114 Phone: 804-554-0356 | |
Micah Danielle Smith, Counselor Medicare: Medicare Enrolled Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 617-379-0496 | |
Julia Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Lancaster Gate Ln Apt 206, Midlothian, VA 23113 Phone: 804-519-1463 | |
Joshua Freeman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13805 Village Mill Dr Ste 201, Midlothian, VA 23114 Phone: 804-404-6553 |