NICOLE C KISZKA-HAZY LMHC
NPI 1821790627
Counselor - Mental Health in Munster, IN

Q: What is Nicole Kiszka-hazy's NPI number?

The NPI number for Nicole Kiszka-hazy is 1821790627. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Q: What is Nicole Kiszka-hazy's specialty?

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

Active since March 17, 2023PECOS EnrolledAccepts Medicare Assignment

9250 COLUMBIA AVE STE 2E, MUNSTER, IN 46321(219) 595-0043(219) 237-2894 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2023, Mar 17, 2023 (2 updates tracked since 2023).

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About Nicole C Kiszka-hazy Lmhc NPPES

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

NICOLE C KISZKA-HAZY LMHC (NPI 1821790627) is an individual mental health provider in Munster, Indiana, licensed in Indiana (39004458A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821790627

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNICOLE C KISZKA-HAZYCredential: LMHC

Location Address9250 COLUMBIA AVE STE 2EMunster, IN 46321-3530

Mailing Address9250 Columbia Ave Ste 2eMunster, IN 46321-3530 · (219) 595-0043 · Fax (219) 237-2894

Phone(219) 595-0043

Fax(219) 237-2894

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 17, 2023

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1821790627 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 · 39004458A

9250 COLUMBIA AVE STE 2E, Munster, IN 46321

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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, Cigna Healthcare, UnitedHealthcare.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

Nicole C Kiszka-hazy Lmhc 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.

PECOS PAC ID2365891678

PECOS Enrollment IDI20231212003271

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 Nicole Kiszka-hazy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nwi Clarity Clinic

Same address

Clinical

9250 COLUMBIA AVE, SUITE E2
Munster, IN 46321

Reassigned Medicare billing, Indiana enrollment
43 clinicians in this Medicare group

NPI 1619412160 (219) 595-0043

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

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.

LAURA RAFAELA BOROWIEC LMHC

Counselor (Mental Health)