Individual provider Active NPI

Karen Lynn Bradley Jackson, LPC

  • Professional Counselor
  • Pounding Mill, VA
National Provider Identifier
1972892685
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004867 Issued in VA
Practice address
268 Martin St
Pounding Mill, VA 24637-4169
Phone
(276) 873-2577
Fax
(276) 598-4670
NPI assigned
Apr 4, 2011
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701004867 VA Primary

Addresses

Primary practice location

268 Martin St
Pounding Mill, VA 24637-4169

Mailing address

268 Martin St
Pounding Mill, VA 24637-4169
Phone (276) 873-2577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204000851 VA Practitioner - Mental Health Counselor 7012355068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1330 2ND St
Richlands, VA 24641-2453
Phone (276) 873-2533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Counseling Services One,Inc. Professional CurrentSince Aug 9, 2025 Accepting new patients
Home Nursing Company, Inc PastSince Jul 9, 2025 Accepting new patients

Locations

1330 2nd St
Richlands, VA 24641
Phone (276) 873-2533

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1972892685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 MARTIN ST",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374169",
            "telephone_number": "276-873-2577",
            "fax_number": "276-598-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARTIN ST",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374169",
            "telephone_number": "276-873-2577",
            "fax_number": "276-598-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY JACKSON",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pounding Mill, VA

Sources for this page

Verify at the official NPI Registry.