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

Jimmy D Widener, LPC

Individual provider Professional Counselor · NPI 1386684215

Jimmy D Widener, LPC is a Mental Health Counselor in Cedar Bluff, Virginia. Qualified in 2007, 19 years ago. Practices with Cumberland Mountain Community Services, a 12-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
19
Licensed in
VA
In the registry since
2006
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

Rte 19 - 460
Cedar Bluff, VA 24609
Phone: (276) 964-6702
Fax: (276) 964-5669
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence VA0701003500 (VA)

Record details

NPI number1386684215
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 810, Cedar Bluff, VA 24609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Cumberland Mountain Community Services — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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