HAZEL MOON LPC
NPI 1083186431
Counselor - Professional in Russellville, AR
About Hazel Moon Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAZEL MOON LPC (NPI 1083186431) is an individual professional provider in Russellville, Arkansas, licensed in Arkansas (P2202000) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Hazel Moon Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hazel Moon's NPI number?
The NPI number for Hazel Moon is 1083186431. It was assigned to this individual provider in the NPPES registry on December 26, 2018.
Where is Hazel Moon located?
Hazel Moon practices at 307 James Cir, Russellville, AR 72801. The listed phone number is (479) 880-3682.
What is Hazel Moon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Hazel Moon enrolled in Medicare?
Yes. Hazel Moon is registered in the Medicare PECOS enrollment system.
What insurance does Hazel Moon accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Hazel Moon 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 Hazel Moon was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Hazel Moon, LPC · NPI 1083186431
Professional provider in Russellville, Arkansas. Individual provider, active in the CMS NPPES registry since December 26, 2018.
## Identity
- **NPI:** 1083186431 (Entity type: Individual)
- **Enumerated:** December 26, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2202000 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 307 JAMES CIR, Russellville, AR 72801-5829
- **Phone:** (479) 880-3682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083186431) · Data from the CMS NPPES public registry.