Janis O'Neil Jackson, LMHP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0730000220 Issued in VA

Practice address

3522 Webster Rd
Blue Ridge, VA 24064-1980

Phone

(540) 977-6300

Fax

(540) 977-9523

NPI assigned

Jan 9, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Botetourt Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blue Ridge, VA
  • NPI 1265535611
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1326752973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MCINTOSH RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240198425",
            "telephone_number": "540-206-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 WEBSTER RD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "240641980",
            "telephone_number": "540-977-6300",
            "fax_number": "540-977-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JANIS",
        "middle_name": "O'NEIL",
        "name_prefix": "Mrs.",
        "credential": "LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0730000220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Botetourt Counseling Center Inc
• David Charles Cockson
• Abigail Erdman
• Erica L Pollack
• Gunter Psychological Services, PLLC
• Wendi B Jenkins, B.C.B.A
• Key Living Options, Inc.
• Lisa S Kihm, LCSW
• Beth Ann Krisha, M.S., ED.S.
• Carrie Leigh Lanning, LPC

• Marriage & Family Therapist in Blue Ridge, VA
• Providers in Blue Ridge, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.