MS. JENNIFER JANE MIXSON (NPI# 1396115960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396115960 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER JANE MIXSON |
| Other Name | MRS. JENNIFER MIXSON RANDOLPH |
| Credential | M.S., LPC |
| Practice Address |
3058 River Rd W Goochland VA 23063-3202 |
| Mailing Address |
3058 River Rd W P O Box 189 Goochland VA 23063-3202 |
| Practice Telephone | 8045565400 |
| Practice Fax Number | 8045565403 |
| Mailing Telephone | 8045565400 |
| Mailing Fax Number | 8045565403 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006293 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315154 | Jennifer R Mixson | Nurse Practitioner | 6836 Bee Caves Rd # 310, Austin, TX 78746-5059 | 2019-06-15 |
| 1831447655 | Jennifer Lynn Mixson | Pharmacist | 8538 Kennestone Ln, North Charleston, SC 29420-6843 | 2012-08-28 |
| 1437257177 | Jennifer Lynn Mixson | Pharmacist | 109 Bee St # 119, Charleston, SC 29401-5703 | 2006-09-20 |
| Street Address |
3058 RIVER RD W |
| City | GOOCHLAND |
| State | VA |
| Zip Code | 23063-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448571 | Goochland Powhatan Community Services | Non-emergency Medical Transport (VAN) | 3058 River Rd W, Goochland, VA 23063-3202 | 2005-09-23 |
| 1063047967 | Grace Stapleton | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2020-03-11 |
| 1780184903 | Emer Rachel Henry | Occupational Therapist | 3058 River Rd W, Goochland, VA 23063-3202 | 2018-02-14 |
| 1457867848 | Kelsey Leigh Gilbert | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2017-12-20 |
| 1326565730 | Michelle Lynn Sowards | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2017-08-25 |
| 1184960635 | Sarah Elizabeth White | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2013-01-02 |
| 1548504467 | Nora M Vassar | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2012-11-15 |
| 1861765349 | Lora Hack | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2012-02-15 |
| 1871635904 | Stacy Hamilton Gill | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2007-02-13 |
| 1073551339 | David R Dilzer | Social Worker | 3058 River Rd W, Goochland, VA 23063-3202 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710217526 | Ruth D Baldwin | Social Worker | 2999 River Rd W, Goochland, VA 23063 | 2009-12-30 |
| 1003057530 | Pamela H Richardson | Family Medicine | 1800 Sandy Hook Road, Suite 120, Goochland, VA 23063 | 2009-03-12 |
| 1104078864 | Brenda F Murray | Counselor | 3058 River Road West, Goochland, VA 23063 | 2008-10-14 |
| 1073631149 | Melissa Olson Black | Specialist/Technologist | 3250 River Road West, Goochland, VA 23063 | 2007-03-27 |
| 1760564264 | Sonja Maria Johns | Family Medicine | 2841 West River Rd, Virginia Correctional Center for Women, Goochland, VA 23063 | 2006-10-20 |
| 1689698573 | Susan Wooldridge | Counselor | 1975 Elk Hill Road, Goochland, VA 23063 | 2006-07-26 |
| 1083634810 | Nancy B Davis | Nurse Practitioner | Goochland Health Dept, Goochland, VA 23063 | 2006-07-21 |
| 1154347342 | Goochland County Public Schools | Local Education Agency (LEA) | 2938 West River Road, Goochland, VA 23063 | 2006-07-14 |
| 1649203746 | Goochland Pharmacy Inc | Pharmacy | 1956 Sandy Hook Rd, Goochland, VA 23063 | 2006-07-09 |
| 1346418316 | Elk Hill Farm, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1975 Elk Hill Road, Goochland, VA 23063 | 2008-02-13 |
| Find all providers in zip 23063 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890904 | Jessica Leigh Sibold | Counselor | 1975 Elk Hill Rd, Goochland, VA 23063-3318 | 2019-06-15 |
| 1326565730 | Michelle Lynn Sowards | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2017-08-25 |
| 1184960635 | Sarah Elizabeth White | Counselor | 3058 River Rd W, Goochland, VA 23063-3202 | 2013-01-02 |
| 1720349749 | Katherine Mann | Counselor | 1975 Elk Hill Rd, Goochland, VA 23063-3318 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1790385672 | Katlyn Nunley | Counselor | 620 Park Ave Nw, Norton, VA 24273-1922 | 2020-10-29 |
| 1972103018 | Jessica Alaine Whittle | Counselor | 1488 Claiborne St, Danville, VA 24540-3150 | 2020-10-28 |
| 1326648486 | Sara Wood | Counselor | 1021 Eden Way N Ste 123, Chesapeake, VA 23320-2776 | 2020-10-28 |
| 1871192336 | Jessie Lewis-crosby | Counselor | 3022 Camp Overlook Ln, Keezletown, VA 22832-2209 | 2020-10-25 |
| 1356940910 | Celeste Suzann Cantees | Counselor | 1008 Pendleton St, Alexandria, VA 22314-2286 | 2020-10-23 |
| 1023617396 | Jennifer Nicole Freeman | Counselor | 3101 Wilson Blvd, Arlington, VA 22201-4443 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1942808845 | Todd Alan Gearheart | Counselor | 102 Goose Creek Ter, Thaxton, VA 24174-3010 | 2020-10-13 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.