IndividualActive
Jaclyn Mixell
NPI 1114891025 · Professional Counselor · Saint Louis, MO
Jaclyn Mixell is a Professional Counselor provider in Saint Louis, MO (NPI 1114891025).
Provider details
- NPI number
- 1114891025
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2025025003 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1612 S Big Bend Blvd
Saint Louis, MO 63117-2208
Phone: (314) 529-1391
Street-level locationGet directions
Mailing address
1612 S Big Bend Blvd
Saint Louis, MO 63117-2208
Additional practice locations (1)
- 409 S Florissant Rd Ste 101Ferguson, MO 63135-2894Phone: (314) 529-1391
Registry dates
- Enumerated
- 2025-10-02
- Last updated
- 2025-10-02
- Certified
- 2025-10-02
Frequently asked questions
- What is Jaclyn Mixell's NPI number?
- Jaclyn Mixell's National Provider Identifier (NPI) is 1114891025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Mixell's specialty?
- Jaclyn Mixell is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jaclyn Mixell located?
- Jaclyn Mixell's practice location on file with NPPES is 1612 S Big Bend Blvd, Saint Louis, MO 63117-2208.
- What is Jaclyn Mixell's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Mixell is (314) 529-1391.
- Is Jaclyn Mixell's NPI active?
- Yes — Jaclyn Mixell's NPI (1114891025) is active in the NPPES registry as of the last update on 2025-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.