Jason R Cussen, MA - Counselor in Fort Wayne, IN

Jason R Cussen, MA is a Counselor - Mental Health based in Fort Wayne, Indiana. Jason R Cussen is licensed to practice in Indiana (license number 39002779A) and his current practice location is 12743 Slash Pass, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 345-7990.

NPI number for Jason R Cussen is 1043644636 and his current mailing address is 12743 Slash Pass, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043644636.

Contact Information

Jason R Cussen, MA
12743 Slash Pass,
Fort Wayne, IN 46818-0063
(260) 345-7990
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameJason R Cussen
GenderMale
SpecialityCounselor - Mental Health
Location12743 Slash Pass, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043644636
  • Provider Enumeration Date: 08/30/2013
  • Last Update Date: 05/25/2024

Medical Identifiers

Medical identifiers for Jason R Cussen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043644636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 39002779A (Indiana)Primary

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. Jason R Cussen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason R Cussen, MA
12743 Slash Pass,
Fort Wayne, IN 46818-0063

Ph: (260) 345-7990
Jason R Cussen, MA
12743 Slash Pass,
Fort Wayne, IN 46818-0063

Ph: (260) 345-7990

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