JACK HAZAN LMHC CSAT NPI 1376022079

NPI Information

  • NPI: 1376022079
  • Provider Name: JACK HAZAN, LMHC , CSAT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1504 BAY RD APT 2003
    MIAMI BEACH, FL
    ZIP 33139
  • Phone: (917) 453-9306

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NPI Details

Jack Hazan, LMHC , CSAT is a mental health counselor in Miami Beach, FL with 8 years of experience. Jack Hazan, LMHC , CSAT NPI is 1376022079. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1504 BAY RD APT 2003
MIAMI BEACH, FL
ZIP 33139-277
Phone: (917) 453-9306

The NPI 1376022079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/13/2018 and was last updated on 2/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNEW YORKNo
2101YM0800XCounselorMental Health010783NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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