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Melissa J Quiroz

Counselor

Behavioral Health & Social Service Providers

2401 Valley Dr, Valparaiso, IN 46383-2520

PECOS Enrollment

This provider is enrolled in PECOS as MELISSA QUIROZ.

Based on the most recent information from CMS, provider Melissa J Quiroz is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1003495094
Provider Type
Individual
Full Name
Quiroz, Melissa J
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2021
Last Updated
2/12/2024

Contact Information

Practice Location

2401 Valley Dr, Valparaiso, IN 46383-2520

(219) 413-5100

(260) 421-5003

Mailing Location

2401 Valley Dr, Valparaiso, IN 46383-2520

(219) 413-5100

(260) 421-5003

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39003492A Indiana

Melissa J Quiroz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chapa, Anthony

Anderson, Lindsay Kay

Williams, Vera

Doan, Daniel David

Schmidtke, Sarah

Bauer, David L

Fuentes, Lori Ann

Hickman, Dawn

Coslet, Jessica

Oiler-Negron, Morgan