Provider Demographics
NPI:1407746381
Name:JAMIE MIXTER COUNSELING
Entity type:Organization
Organization Name:JAMIE MIXTER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAPC
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIXTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:412-944-0891
Mailing Address - Street 1:203 CORAOPOLIS RD APT 4
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20397 ROUTE 19 STE 130
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-6133
Practice Address - Country:US
Practice Address - Phone:412-944-0891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty