Individual provider Active NPI

Melissa Kuczmanski, LMHC

  • Mental Health Counselor
  • La Porte, IN
National Provider Identifier
1306627716
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88002130A Issued in IN
Practice address
804 Monroe St
La Porte, IN 46350-3511
Phone
(219) 229-0109
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88002130A IN Primary

Addresses

Primary practice location

804 Monroe St
La Porte, IN 46350-3511

Mailing address

804 Monroe St
La Porte, IN 46350-3511
Phone (219) 229-0109

Other practice location 1

910 Michigan Ave
LA Porte, IN 46350-3505
Phone (219) 229-0109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008002151 IN Practitioner - Mental Health Counselor 3678070323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Indiana TherapiesGroup PAC ID 7517333206, 4 clinicians

Practice addresses (Care Compare)

804 Monroe St
La Porte, IN 46350-3511
Phone (219) 229-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88002130AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Indiana Therapies Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Purple Door Academy Past Accepting new patients

Locations

705 Harrison St
La Porte, IN 46350
Phone (219) 229-0109

910 Michigan Ave
La Porte, IN 46350
Phone (219) 229-0109

804 Monroe St
La Porte, IN 46350
Phone (219) 229-0109

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1306627716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MONROE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503511",
            "telephone_number": "219-229-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MONROE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503511",
            "telephone_number": "219-229-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463503505",
            "country_code": "US",
            "telephone_number": "219-229-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCZMANSKI",
        "first_name": "MELISSA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002130A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.