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

Justin Jackson, LPC

Individual provider Counselor · NPI 1235788902

Justin Jackson, LPC is a Mental Health Counselor in Glen Allen, Virginia. Qualified in 2013, 13 years ago. Practices with Virginia Center for Addiction Medicine, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2019
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4212 Park Place Ct
Glen Allen, VA 23060-3314
Phone: (804) 332-5950
Fax: (804) 728-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701008565 (VA)
Counselor Taxonomy 101Y00000X · Licence 0701008565 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0701008565 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 0701008565 (VA)

Record details

NPI number1235788902
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021
Mailing address4212 Park Place Ct, Glen Allen, VA 23060-3314

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Virginia Center For Addiction Medicine — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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