MRS. KELLEY F MIZIC LPC
NPI 1649460890
Counselor - Professional in Weaver, AL
About Mrs. Kelley F Mizic Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLEY F MIZIC LPC (NPI 1649460890) is an individual professional provider in Weaver, Alabama, licensed in Alabama (2324) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kelley F Mizic Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelley Mizic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, AL 35758
- Reassigned Medicare billing, Alabama enrollment
- 118 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelley Mizic's NPI number?
The NPI number for Kelley Mizic is 1649460890. It was assigned to this individual provider in the NPPES registry on July 25, 2007.
Where is Kelley Mizic located?
Kelley Mizic practices at 710 Wana Ave, Weaver, AL 36277. The listed phone number is (256) 282-6841.
What is Kelley Mizic's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kelley Mizic enrolled in Medicare?
Yes. Kelley Mizic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelley Mizic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Mizic reassigns Medicare benefits to Integrated Behavioral Health, Inc. (Madison, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelley Mizic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Mizic accept?
Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Kelley Mizic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelley Mizic was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kelley F Mizic, LPC · NPI 1649460890
Professional provider in Weaver, Alabama. Individual provider, active in the CMS NPPES registry since July 25, 2007.
## Identity
- **NPI:** 1649460890 (Entity type: Individual)
- **Enumerated:** July 25, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2324 (Alabama)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 710 WANA AVE, Weaver, AL 36277-3440
- **Phone:** (256) 282-6841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Integrated Behavioral Health, Inc. (NPI 1730522699, Madison, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649460890) · Data from the CMS NPPES public registry.