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JENNIFER MAZZOLA
NPI 1750955415
Community Based Residential Treatment Facility, Mental Illness in Muncie, IN

Active since May 18, 2021
3700 W KILGORE AVE, MUNCIE, IN 47304(765) 747-5223 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Mazzola NPPES

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

JENNIFER MAZZOLA (NPI 1750955415) is an individual community based residential treatment facility, mental illness provider in Muncie, Indiana and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1750955415
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameJENNIFER MAZZOLA
Location Address3700 W KILGORE AVEMuncie, IN 47304-4810
Mailing Address4840 Sunpoint Cir Apt 610Indianapolis, IN 46237-4601
Phone(765) 747-5223
Sole ProprietorYes
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1750955415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3700 W KILGORE AVE, Muncie, IN 47304
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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.

WORKPLACE HEALTH SERVICES, LLC
Clinic/Center
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
JESSICA SIMPSON PSYD HSPP
Psychologist (Clinical)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
ADDRIANNE MILES
Residential Treatment Facility, Emotionally Disturbed Children
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
DONALD JOSEPH BERNAT NCSP
Psychologist (Clinical Child & Adolescent)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 747-5223
DR. BRANDON MATTHEW ROBBINS PSY.D.
Psychologist (Clinical)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
MRS. AMBER NICOLE GROOMES M.A.
Counselor (Professional)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
CASEY THOMPSON
Counselor (Mental Health)
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437
YOUTH OPPORTUNITY CENTER, INC
Psychiatric Residential Treatment Facility
3700 W KILGORE AVE
MUNCIE, IN 47304
Delaware County (765) 289-5437

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 Jennifer Mazzola's NPI number?

The NPI number for Jennifer Mazzola is 1750955415. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Jennifer Mazzola located?

Jennifer Mazzola practices at 3700 W Kilgore Ave, Muncie, IN 47304. The listed phone number is (765) 747-5223.

What is Jennifer Mazzola's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Jennifer Mazzola was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.