Jacob P Mizell, LMCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11684 Issued in KS

Practice address

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600

Phone

(620) 663-7595

Fax

(620) 513-5098

NPI assigned

Jul 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizons Mental Health Center, Inc.Group PAC ID 2163418120, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Horizons Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Hutchinson, KS
  • NPI 1447354089

  Social Worker

  Medicare reassignment Care Compare group NPD
• Horizons Mental Health Center, Inc.

  dba Horizons Mental Health Center-Kingman

  • Community/Behavioral Health Agency
  • Kingman, KS
  • NPI 1942785175
  NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1790393510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595",
            "fax_number": "620-513-5098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4155 E Harry St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183725",
            "country_code": "US",
            "telephone_number": "785-656-9484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "JACOB",
        "middle_name": "P",
        "credential": "LMCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11684",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "11684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven P Miller, OD
• Thomas Levene Miller, CRNA
• Cynthia Mills, MD
• Mind - Mother LLC
• Mirage Imaging LLC
• Christine N Mohr, PSY.D.
• Evan Nicole Monahan, APRN
• Bradley Sean Monroe, PA-C
• Sue Ann Montgomery, PHD, LCMFT, LCAC
• Taylor M Moody, LPC

• Clinical Social Worker in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.