MR. MICHAEL B HAZELTINE M.A., LPC
NPI 1215413091
Counselor - Professional in Tyler, TX

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
218 N COLLEGE AVE, TYLER, TX 75702(903) 593-9141 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Jul 16, 2018 (2 updates tracked since 2018).

About Mr. Michael B Hazeltine M.a., Lpc NPPES

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

MR. MICHAEL B HAZELTINE M.A., LPC (NPI 1215413091) is an individual professional provider in Tyler, Texas, licensed in Texas (79720) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1215413091
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MICHAEL B HAZELTINECredential: M.A., LPC
Location Address218 N COLLEGE AVETyler, TX 75702-5715
Mailing Address218 N College AveTyler, TX 75702-5715 · (903) 593-9141
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 16, 2018
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1215413091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 79720
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
218 N COLLEGE AVE, Tyler, TX 75702

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

Mr. Michael B Hazeltine M.a., Lpc 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 ID7911355243
PECOS Enrollment IDI20231128001505
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 11

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

Counselor (Mental Health)
218 N COLLEGE AVE
TYLER, TX 75702
Counselor (Professional)
218 N COLLEGE AVE
TYLER, TX 75702
Counselor (Professional)
218 N COLLEGE AVE
TYLER, TX 75702
Counselor (Mental Health)
218 N COLLEGE AVE
TYLER, TX 75702
Social Worker (Clinical)
218 N COLLEGE AVE
TYLER, TX 75702
Social Worker (Clinical)
218 N COLLEGE AVE
TYLER, TX 75702
Counselor (Professional)
218 N COLLEGE AVE
TYLER, TX 75702
Counselor
218 N COLLEGE AVE
TYLER, TX 75702

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 Michael Hazeltine's NPI number?

The NPI number for Michael Hazeltine is 1215413091. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Michael Hazeltine located?

Michael Hazeltine practices at 218 N College Ave, Tyler, TX 75702. The listed phone number is (903) 593-9141.

What is Michael Hazeltine's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Hazeltine enrolled in Medicare?

Yes. Michael Hazeltine 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 Michael Hazeltine accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Michael Hazeltine 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 Michael Hazeltine was last updated on December 8, 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.