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NICOLE TOYI JACKSON-MUSENJA M.A.
NPI 1710181722
Counselor - Mental Health in Valparaiso, IN

Active since June 13, 2007PECOS Enrolled
1001 STURDY RD, VALPARAISO, IN 46383(219) 462-7173(219) 462-7504 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Toyi Jackson-musenja M.a. NPPES

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

NICOLE TOYI JACKSON-MUSENJA M.A. (NPI 1710181722) is an individual mental health provider in Valparaiso, Indiana and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710181722
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE TOYI JACKSON-MUSENJACredential: M.A.
Location Address1001 STURDY RDValparaiso, IN 46383-4126
Mailing Address1001 Sturdy RdValparaiso, IN 46383-4126 · (219) 462-7173 · Fax (219) 462-7504
Phone(219) 462-7173
Fax(219) 462-7504
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedMay 28, 2021
✔ NPI 1710181722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1001 STURDY RD, Valparaiso, IN 46383
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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)

Nicole Toyi Jackson-musenja M.a. 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.

Other Providers at the Same Location NPPES 20

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

ASHA KOSHY APN
Nurse Practitioner
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
AMBER CRANDALL
Dental Hygienist
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
LAUREN REISBERG NP-C
Nurse Practitioner (Family)
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
ALEXANDER TOKARSKI
Nurse Practitioner
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
SHAH ZAIB KHAN M.D.
Student in an Organized Health Care Education/Training Program
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
CARRIE M CRUSE
Nurse Practitioner (Primary Care)
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173
MR. MARK SUNDH PHARMD
Pharmacist
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7133
BRITTANIE LEE PATEL DDS
Dentist (General Practice)
1001 STURDY RD
VALPARAISO, IN 46383
Porter County (219) 462-7173

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 Nicole Jackson-musenja's NPI number?

The NPI number for Nicole Jackson-musenja is 1710181722. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Nicole Jackson-musenja located?

Nicole Jackson-musenja practices at 1001 Sturdy Rd, Valparaiso, IN 46383. The listed phone number is (219) 462-7173.

What is Nicole Jackson-musenja's specialty?

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

Is Nicole Jackson-musenja enrolled in Medicare?

Yes. Nicole Jackson-musenja is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Jackson-musenja accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Nicole Jackson-musenja 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 Nicole Jackson-musenja was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.