JACQUELINE MIZE LMHC, ATR-P - NPI 1679250252 - Counselor in Columbia City, IN

Q: What is Jacqueline Mize's NPI number?

The NPI number for Jacqueline Mize is 1679250252. It was assigned to this individual provider in the NPPES registry on July 5, 2023. The provider is also known as Jacqueline Bondowski.

Q: What is Jacqueline Mize's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Mize was last updated on January 8, 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.

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About Jacqueline Mize Lmhc, Atr-p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MIZE LMHC, ATR-P (NPI 1679250252) is an individual mental health provider in Columbia City, Indiana, licensed in Indiana (39004570A) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679250252

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE MIZECredential: LMHC, ATR-P

Location Address1259 E STATE ROAD 205Columbia City, IN 46725-9492

Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880

Phone(260) 248-8176

Sole ProprietorNo

Enumeration DateJuly 5, 2023

Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1679250252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IN · 39004570A

1259 E STATE ROAD 205, Columbia City, IN 46725

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Other Names 1

Former Name (1)Jacqueline Bondowski

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Mize Lmhc, Atr-p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

75 services12 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA C. BULTEMEIER MA

Counselor (Mental Health)