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

Active since July 05, 2023PECOS Enrolled
1259 E STATE ROAD 205, COLUMBIA CITY, IN 46725(260) 248-8176 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2025, Sep 30, 2024, Jul 5, 2023 (3 updates tracked since 2023).

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
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Bondowski

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Mize reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bowen Health Inc
19 mi
Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group
NPI 1023668183 (800) 342-5653

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6

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

ANNA C. BULTEMEIER MA
Counselor (Mental Health)
1259 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Whitley County (260) 248-8176
SYDNEY ANN MALOY
Counselor (Mental Health)
1259 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Whitley County (260) 248-8176
LIANE LUNDQUIST-MINIER MSW, LCSW
Social Worker (Clinical)
1259 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Whitley County (260) 248-8176
HEATHER MARIE STAFFORD
Counselor (Mental Health)
1259 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Whitley County (260) 248-8176
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1259 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Whitley County (800) 519-1139
NATALIE N KEEN
Counselor (Mental Health)
1259 E STATE ROAD 205
COLUMBIA CITY, IN 46725
Whitley County (260) 488-8176

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 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.

Where is Jacqueline Mize located?

Jacqueline Mize practices at 1259 E State Road 205, Columbia City, IN 46725. The listed phone number is (260) 248-8176.

What is Jacqueline Mize's specialty?

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

Is Jacqueline Mize enrolled in Medicare?

Yes. Jacqueline Mize is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Mize's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Mize reassigns Medicare benefits to Bowen Health Inc (Fort Wayne, IN). 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 Jacqueline Mize's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Mize accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jacqueline Mize 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 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 21 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.