Jacqueline Mize, LMHC, ATR-P in Columbia City, IN

Jacqueline Mize, LMHC, ATR-P is a medicare enrolled "Counselor - Mental Health" provider in Columbia City, Indiana. Her current practice location is 1259 E State Road 205, Columbia City, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 248-8176.

Jacqueline Mize is licensed to practice in Indiana (license number 39004570A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679250252.

Contact Information

	Jacqueline Mize, LMHC, ATR-P
	1259 E State Road 205, Columbia City, IN 46725-9492
	(260) 248-8176
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Mize
Gender	Female
Speciality	Counselor - Mental Health
Location	1259 E State Road 205, Columbia City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679250252
Provider Enumeration Date: 07/05/2023
Last Update Date: 01/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1850749219
Enrollment ID: I20231122002483

Medical Identifiers

Medical identifiers for Jacqueline Mize such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679250252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39004570A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Mize allows following entities to bill medicare on her behalf.

Entity Name	Northeastern Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720140908 PECOS PAC ID: 6709795636 Enrollment ID: O20040605000289

Entity Name	Park Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306897004 PECOS PAC ID: 5991794794 Enrollment ID: O20041213000226

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Mize is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacqueline Mize, LMHC, ATR-P 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: () -	Jacqueline Mize, LMHC, ATR-P 1259 E State Road 205, Columbia City, IN 46725-9492 Ph: (260) 248-8176

Reviews and Comments

Counselor in Columbia City, IN

Brett Isaac Robbins, Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264
Haley Sloffer, MA, LMFT, LCAC Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983
Paige Reinhart, MA Counselor Medicare: Medicare Enrolled Practice Location: 119 W Market St, Columbia City, IN 46725 Phone: 260-248-8176 Fax: 260-248-2366
Rileigh Leek, LMHCA Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983
Tawanna Scruggs-cottrell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983
Lisa Starkey, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264 Fax: 260-244-1983
Lori Stokes, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 N Oak St, Columbia City, IN 46725 Phone: 260-244-0264

Jacqueline Mize, LMHC, ATR-P - Medicare Counselor in Columbia City, IN