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MR. THOMAS W HAZEN CMHC
NPI 1083785240
Counselor - Mental Health in Provo, UT

Active since November 10, 2006PECOS Enrolled
1300 E CENTER ST, PROVO, UT 84606(801) 344-4400 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Thomas W Hazen Cmhc NPPES

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

MR. THOMAS W HAZEN CMHC (NPI 1083785240) is an individual mental health provider in Provo, Utah, licensed in Utah (139747-6004) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083785240
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THOMAS W HAZENCredential: CMHC
Location Address1300 E CENTER STProvo, UT 84606-3554
Mailing Address1175 E 100 N, Suite 206Payson, UT 84651-1665 · (801) 592-4040 · Fax (801) 423-3154
Phone(801) 344-4400
Sole ProprietorYes
Enumeration DateNovember 10, 2006
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1083785240 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 UT · 139747-6004
1300 E CENTER ST, Provo, UT 84606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thomas W Hazen Cmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

AARON EUGENE DEGRISELLES CTRS
Recreation Therapist
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4226
BRENNA GARRETT LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
EDWARD LESLIE KELLY MD
Psychiatry & Neurology (Forensic Psychiatry)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
WILLIAM KORY CAMP LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4215
UTAH STATE HOSPITAL
Psychiatric Hospital
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4331
KATIE DUVALL
Student in an Organized Health Care Education/Training Program
1300 E CENTER ST
PROVO, UT 84606
Utah County (013) 444-4400
KAZIA RYAN M.A.
Counselor
1300 E CENTER ST
PROVO, UT 84606
Utah County (385) 208-6904
THOMAS PAYNE LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400

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 Thomas Hazen's NPI number?

The NPI number for Thomas Hazen is 1083785240. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Thomas Hazen located?

Thomas Hazen practices at 1300 E Center St, Provo, UT 84606. The listed phone number is (801) 344-4400.

What is Thomas Hazen's specialty?

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

Is Thomas Hazen enrolled in Medicare?

Yes. Thomas Hazen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Hazen was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.