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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEAVEN K HAZZARD
NPI 1215869151
Counselor - Mental Health in Bloomington, IL

Active since June 03, 2026
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351(309) 829-6808 Get Directions Write a Review

NPPES record added: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heaven K Hazzard NPPES

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

HEAVEN K HAZZARD (NPI 1215869151) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1215869151
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHEAVEN K HAZZARD
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address108 W Market StBloomington, IL 61701-3918 · (309) 827-5351 · Fax (309) 829-6808
Phone(309) 827-5351
Fax(309) 829-6808
Sole ProprietorYes
Enumeration DateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1215869151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 W MARKET ST, Bloomington, IL 61701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

THERESA KAUTH
Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
TIMOTHY ROBERT WRIGHT
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRYNNA A PORCH
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
MR. JOSHUA BECKWITH
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
BRIDGET W MWAURA
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
JOANNE LILLIAN MECHERLE
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
KEVIN PETER CRUTCHER
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351
DEAN CONSTANTOPALOS
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
McLean County (309) 827-5351

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 Heaven Hazzard's NPI number?

The NPI number for Heaven Hazzard is 1215869151. It was assigned to this individual provider in the NPPES registry on June 3, 2026.

Where is Heaven Hazzard located?

Heaven Hazzard practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Heaven Hazzard's specialty?

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

When was this NPI record last updated?

The NPPES record for Heaven Hazzard was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.