Mindy R. Jackson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDY R. JACKSON, LPC

Doing business as

Willow Path Counseling and Consulting
Willowbrook Counseling

Practice address

1901 S Main St Ste 4a
Blacksburg, VA 24060-6628

Phone

(540) 820-4242

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Minna R Jackson, LPCNPI 1013034362

Title

Owner/Member

Phone

(540) 820-4242

Specialties & licenses 1

Addresses

Other names 2

• Willow Path Counseling and Consulting Doing business as
• Willowbrook Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minna R Jackson, LPC

  • Professional Counselor
  • Blacksburg, VA
  • NPI 1013034362
  NPD Authorized official

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766880000000",
    "number": "1568037190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST STE 4A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606628",
            "telephone_number": "540-820-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST STE 4A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606628",
            "telephone_number": "540-820-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY R. JACKSON, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MINNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "540-820-4242",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Path Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willowbrook Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara R Miller, FNP
• Brenda Larrimer Miller, PT,OCS
• Donald Miller, RPH
• Patricia Anna Miller, FNP
• Robert C. Miller, ED.D.
• Colleen Mitchell, O.D.
• Mary Morgan Mitchell, D.O
• Michael Christopher Mitkos, DO
• Joseph Mock, MD
• Moe's Reliable Transportation LLC

• Professional Counselor in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; 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.