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

Jaclyn Mixell

Individual provider Professional Counselor · NPI 1114891025

Jaclyn Mixell is a Professional Counselor in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

1612 S Big Bend Blvd
Saint Louis, MO 63117-2208
Phone: (314) 529-1391
Show map & directions

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

Additional practice locations (1)

  • 409 S Florissant Rd Ste 101, Ferguson, MO 63135-2894 — (314) 529-1391

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2025025003 (MO)

Record details

NPI number1114891025
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

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