Sandra Jean Jackson, MS,LPC
Individual provider Active NPI Professional Counselor · Locust Grove, VA
NPI 1104771971 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1104771971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701007814 (VA)
- Practice address
- 35060 Rogers Way
Locust Grove, VA 22508-5404 - Phone
- (703) 987-8351
- NPI assigned
- Feb 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701007814 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0701007814 | VA | Yes |
Addresses
Primary practice location
35060 Rogers Way
Locust Grove, VA 22508-5404
Mailing address
35060 Rogers Way
Locust Grove, VA 22508-5404
Phone (703) 987-8351
Other providers in Locust Grove, VA
- Amy L. Hull
- Rulea Hunter
- Integrated Maintenance and Bus Services LLC ('Imbserv')
- Andrea M. Jackson
- Emily Jackson
- Adam H. Johnson
- Kenneth Scott Johnson
- Jaylah Nacole Jones
- Kara Josephs
- Amelia Kane
All providers in Locust Grove, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.