MS. JENNIFER J MIXSON (MS, LPC) – Professional Counselor, NPI 1396115960

Professional Counselor

MS. JENNIFER J MIXSON (MS, LPC) is a healthcare provider. based in Goochland, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC. They hold a License No. 0701006293 (VA). The NPI Number for MS. JENNIFER J MIXSON (MS, LPC) is 1396115960

Main info

Female

7 Years Of Experience

Accepts Medicare Assignment

Name

MS. JENNIFER J MIXSON (MS, LPC)

NPI

1396115960

Phone

(804) 556-5400

Address

3058 RIVER RD W

Enumeration Date

25 September 2015

Last Update Date

28 November 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8042076737

Graduation Year

2019 (7 years ago)

PAC ID

9234581158

Group Practice PAC ID

0941288583

Professional Enrollment ID

I20240116004597

Address ID

VA231137313MI15521TPKE301

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:10State licenses:1Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for MS. JENNIFER J MIXSON (MS, LPC)

3058 RIVER RD W
P O BOX 189
GOOCHLAND, VA 230633202
Phone: (804) 556-5400
Fax: (804) 556-5403
Type: Mailing
15521 MIDLOTHIAN TPKE STE 105
MIDLOTHIAN, VA 231137313
Phone: (804) 207-6737
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240116004597	I	Mental Health Counselor	VA	TBD
I20250725002744	I	Nurse Practitioner	TX	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23063)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0941288583View full group profile

Name	Specialty	State
DR. JOHN PATRICK BENESEK (PSY.D.)	-	VA
MS. QUANDA MICHON GRIFFIN (NP)	Nurse Practitioner	VA
MRS. JANE MARY SULLIVAN (PMHNP-BC)	Certified Clinical Nurse Specialist (Cns)	MA
DR. WILLIAM EDWARD III NICHELSON (PH.D.)	-	VA
MRS. DANIELLE N CRANE (LPC)	Mental Health Counselor	VA
HALIMA AL-QAWASMI (MD)	P S Y C H I A T R Y	MI
KEVINA BOONE (PMHNP)	Nurse Practitioner	VA
MS. MIRIAM N TURNER (M.E.D., LPC)	Mental Health Counselor	VA
MRS. ASHLEY MARIE FORESMAN (PSY.D.)	-	VA
DR. JILL C ASCARI (PH.D.)	-	VA