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JAMIE HAZE MS
NPI 1194482612
Counselor in Wheeling, IL

Active since November 18, 2021PECOS Enrolled
210 N WOLF RD, WHEELING, IL 60090(847) 353-1500 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamie Haze Ms NPPES

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

JAMIE HAZE MS (NPI 1194482612) is an individual counselor in Wheeling, Illinois and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194482612
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJAMIE HAZECredential: MS
Location Address210 N WOLF RDWheeling, IL 60090-2922
Mailing Address1111 W Lake Cook RdBuffalo Grove, IL 60089-1926 · (847) 353-1500
Phone(847) 353-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
✔ NPI 1194482612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
210 N WOLF RD, Wheeling, IL 60090
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Haze Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022597301
PECOS Enrollment IDI20260206002549
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.

Medicare Billing Reassignment

Medicare enrollment records show Jamie Haze reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Support PLLC
7.0 mi
Mental Health
110 N BROCKWAY ST STE 300
Palatine, IL 60067
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1003689217 (630) 640-3539

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MIRIAM TORRES MSW
Social Worker
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
VICTORIA WALTON
Counselor
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
SOYEONG JEONG
Counselor (Mental Health)
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
YOLANDA BURGOS MASTER IN COUNSELING
Counselor
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
MYNOR HERRERA BS
Counselor
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
TYRA SPANN LMSW
Social Worker
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
MEGAN SANTORO BS
Counselor
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500
ALEXANDRA CHRISTINA BUCKINGHAM
Counselor
210 N WOLF RD
WHEELING, IL 60090
Cook County (847) 353-1500

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 Jamie Haze's NPI number?

The NPI number for Jamie Haze is 1194482612. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Jamie Haze located?

Jamie Haze practices at 210 N Wolf Rd, Wheeling, IL 60090. The listed phone number is (847) 353-1500.

What is Jamie Haze's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jamie Haze enrolled in Medicare?

Yes. Jamie Haze is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamie Haze's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Haze reassigns Medicare benefits to Mindful Support PLLC (Palatine, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamie Haze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jamie Haze was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.