Look up the most recent NPI and PECOS records

Krystal Mulzon

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Krystal Mulzon 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 4 days ago.

Profile Details

Provider ID
1104693779
Provider Type
Individual
Full Name
Mulzon, Krystal
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
12/5/2023
Last Updated
12/5/2023

Contact Information

Practice Location

601 Wall St, Valparaiso, IN 46383-2512

(219) 531-3500

Unlisted Fax

Mailing Location

601 Wall St, Valparaiso, IN 46383-2512

(219) 531-3500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 39004740A Indiana

Krystal Mulzon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Albright, Suzanne J.

Sullivan, Theodore

Jones, Sakile H

Wells, Erin

Antone, Adam

Johnson, Melanie Jean

Driver, Steven David

Koontz, Ruby Taylor

Suppes, Karen J

Joseph, Reagan Carolyn