KRYSTAL MULZON (LMHC) – Mental Health Counselor, NPI 1104693779

KRYSTAL MULZON (LMHC) is a healthcare provider. based in Valparaiso, Indiana. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 39004740A (IN). The NPI Number for KRYSTAL MULZON (LMHC) is 1104693779

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTAL MULZON (LMHC)
NPI
1104693779
Phone
(219) 531-3500
Address
601 WALL ST
Enumeration Date
5 December 2023
Last Update Date
5 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5747724040
Graduation Year
2020 (6 years ago)
PAC ID
4183067036
Group Practice PAC ID
1951293554
Professional Enrollment ID
I20240207002206
Address ID
IN463832512VA601XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

893 MENTAL HEALTH COUNSELOR in IN

Provider Addresses for KRYSTAL MULZON (LMHC)

  • 601 WALL ST

    VALPARAISO, IN 463832512

    Phone: (219) 531-3500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240207002206IMental Health CounselorINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46383)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951293554View full group profile
NameSpecialtyState
P S Y C H I A T R YIN
Mental Health CounselorIN
Clinical PsychologistIL
Mental Health CounselorIL
Nurse PractitionerIN
P S Y C H I A T R YMD
Nurse PractitionerIN
Nurse PractitionerIN
Clinical Social WorkerIN
Clinical Social WorkerIN

Reviews

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Frequently asked questions

How is KRYSTAL MULZON (LMHC) identified in CMS data?
CMS-hosted NPPES data lists KRYSTAL MULZON (LMHC) with NPI 1104693779.
Does the file indicate KRYSTAL MULZON (LMHC) is practicing under active NPI?
Directory data currently reports KRYSTAL MULZON (LMHC) as active.
What is KRYSTAL MULZON (LMHC)'s specialty?
The listing groups KRYSTAL MULZON (LMHC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for KRYSTAL MULZON (LMHC)?
KRYSTAL MULZON (LMHC)'s geographic hint is Valparaiso, Indiana in our summary view.
Why does KRYSTAL MULZON (LMHC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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