MR. KENNETH M. HAZLEWOOD LMFT
NPI 1164555306
Counselor - Addiction (Substance Use Disorder) in Montague, CA

Q: What is Kenneth Hazlewood's NPI number?

The NPI number for Kenneth Hazlewood is 1164555306. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Kenneth Hazlewood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Hazlewood was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 14, 2007PECOS Enrolled

251 N 6TH ST, MONTAGUE, CA 96064(818) 384-7103 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Kenneth M. Hazlewood Lmft NPPES

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

MR. KENNETH M. HAZLEWOOD LMFT (NPI 1164555306) is an individual addiction (substance use disorder) provider in Montague, California and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164555306

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. KENNETH M. HAZLEWOODCredential: LMFT

Location Address251 N 6TH STMontague, CA 96064-8025

Mailing AddressPo Box 351Montague, CA 96064 · (818) 384-7103

Phone(818) 384-7103

Sole ProprietorYes

Enumeration DateMarch 14, 2007

Last NPPES UpdateSeptember 21, 2020

NPPES CertifiedSeptember 21, 2020

✔ NPI 1164555306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 83241 (CA)

251 N 6TH ST, Montague, CA 96064

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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. Kenneth M. Hazlewood Lmft 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.

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 Kenneth Hazlewood's NPI number?

The NPI number for Kenneth Hazlewood is 1164555306. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Kenneth Hazlewood located?

Kenneth Hazlewood practices at 251 N 6th St, Montague, CA 96064. The listed phone number is (818) 384-7103.

What is Kenneth Hazlewood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Kenneth Hazlewood enrolled in Medicare?

Yes. Kenneth Hazlewood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Hazlewood was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.