MRS. MARY SHANNON HAZEN LCSW
NPI 1043953797
Counselor - Mental Health in Newalla, OK

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
5021 RED HILL RD, NEWALLA, OK 74857(405) 391-7777 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, May 29, 2025, Sep 9, 2022 and 1 more (4 updates tracked since 2022).

About Mrs. Mary Shannon Hazen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY SHANNON HAZEN LCSW (NPI 1043953797) is an individual mental health provider in Newalla, Oklahoma, licensed in Oklahoma (21587) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Choctaw, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043953797
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARY SHANNON HAZENCredential: LCSW
Location Address5021 RED HILL RDNewalla, OK 74857-8834
Mailing Address5021 Red Hill RdNewalla, OK 74857-8834 · (405) 391-7777
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 19, 2022
Last NPPES UpdateAugust 19, 20254 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1043953797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OK · 21587
5021 RED HILL RD, Newalla, OK 74857

Secondary Practice Location 1

Location 114625 NE 23rd StChoctaw, OK 73020-8728 · Phone (405) 390-8131 · Fax (405) 835-2253

Other Identifiers 2

Medicaid1881775211OK
Other21587OK · Osblsw

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Shannon Hazen Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618481334
PECOS Enrollment IDI20250707001504
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
5021 RED HILL RD
NEWALLA, OK 74857
Social Worker (Clinical)
5021 RED HILL RD
NEWALLA, OK 74857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Hazen's NPI number?

The NPI number for Mary Hazen is 1043953797. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Mary Hazen located?

Mary Hazen practices at 5021 Red Hill Rd, Newalla, OK 74857. The listed phone number is (405) 391-7777.

What is Mary Hazen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Hazen enrolled in Medicare?

Yes. Mary Hazen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Hazen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mary Hazen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Hazen was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.