Nicole Toyi Jackson-musenja, MA in Valparaiso, IN

Nicole Toyi Jackson-musenja, MA is a medicare enrolled "Counselor - Mental Health" provider in Valparaiso, Indiana. Her current practice location is 1001 Sturdy Rd, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 462-7173.

Nicole Toyi Jackson-musenja is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710181722.

Contact Information

	Nicole Toyi Jackson-musenja, MA
	1001 Sturdy Rd, Valparaiso, IN 46383-4126
	(219) 462-7173
	(219) 462-7504

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Toyi Jackson-musenja
Gender	Female
Speciality	Counselor - Mental Health
Location	1001 Sturdy Rd, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710181722
Provider Enumeration Date: 06/13/2007
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5395197388
Enrollment ID: I20240116000175

Medical Identifiers

Medical identifiers for Nicole Toyi Jackson-musenja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710181722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Toyi Jackson-musenja allows following entities to bill medicare on her behalf.

Entity Name	Southlake Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Toyi Jackson-musenja is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Toyi Jackson-musenja, MA 1001 Sturdy Rd, Valparaiso, IN 46383-4126 Ph: (219) 462-7173	Nicole Toyi Jackson-musenja, MA 1001 Sturdy Rd, Valparaiso, IN 46383-4126 Ph: (219) 462-7173

Reviews and Comments

Counselor in Valparaiso, IN

Daniel Ryan Carter, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 2004 Valparaiso St, Valparaiso, IN 46383 Phone: 219-477-5646
Sarah Pessmeg Rossi, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 Morthland Dr, Valparaiso, IN 46385 Phone: 219-462-9200
Melissa J Quiroz, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2401 Valley Dr, Valparaiso, IN 46383 Phone: 219-413-5100 Fax: 260-421-5003
Sonja Pierson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 Bertholet Blvd Ste 301, Valparaiso, IN 46383 Phone: 219-323-3311
Tessa Bodish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2302 Fernhill Dr, Valparaiso, IN 46385 Phone: 219-255-8258
Sarah Schmidtke, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2004 Valparaiso St, Valparaiso, IN 46383 Phone: 219-477-5646 Fax: 219-728-4765
Lindsay Hrebic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2803 Boilermaker Ct, 1c, Valparaiso, IN 46383 Phone: 708-341-8840

Nicole Toyi Jackson-musenja, MA - Medicare Counselor in Valparaiso, IN