Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mindy R. Jackson, LPC

Organization Professional Counselor · NPI 1568037190

Mindy R. Jackson, LPC is a Professional Counselor in Blacksburg, Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1901 S Main St Ste 4A
Blacksburg, VA 24060-6628
Phone: (540) 820-4242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1568037190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minna Jackson — Owner/Member · (540) 820-4242
Other names Willow Path Counseling And Consulting; Willowbrook Counseling
NPI enumeratedMay 25, 2021
Last updated in NPPESDecember 28, 2025
Certification dateDecember 28, 2025
Mailing address1901 S Main St Ste 4a, Blacksburg, VA 24060-6628

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