MR. MICHAEL B HAZELTINE M.A., LPC
NPI 1215413091
Counselor - Professional in Tyler, TX
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Hazeltine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hudsonville, MI 49426
- Reassigned Medicare billing, Michigan enrollment
- 36 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 5 clinicians in this Medicare group
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 10
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 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.
Which organizations bill Medicare for Michael Hazeltine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hazeltine reassigns Medicare benefits to 2 organizations: Second Story Counseling II LLC (Hudsonville, MI) and Console Counseling LLC (Grand Rapids, MI). Each 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 Michael Hazeltine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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.
# Mr. Michael B Hazeltine, M.A., LPC · NPI 1215413091
Professional provider in Tyler, Texas. Individual provider, active in the CMS NPPES registry since July 16, 2018.
## Identity
- **NPI:** 1215413091 (Entity type: Individual)
- **Enumerated:** July 16, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 79720 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 218 N COLLEGE AVE, Tyler, TX 75702-5715
- **Phone:** (903) 593-9141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Second Story Counseling II LLC (NPI 1013460716, Hudsonville, MI); Console Counseling LLC (NPI 1699563213, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1215413091) · Data from the CMS NPPES public registry.