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JACK HAZAN LMHC , CSAT
NPI 1376022079
Counselor - Mental Health in Miami Beach, FL

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
1504 BAY RD APT 2003, MIAMI BEACH, FL 33139(917) 453-9306 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2025, Jun 1, 2023, Aug 13, 2018 (3 updates tracked since 2018).

About Jack Hazan Lmhc , Csat NPPES

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

JACK HAZAN LMHC , CSAT (NPI 1376022079) is an individual mental health provider in Miami Beach, Florida, licensed in New York (010783) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1376022079
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK HAZANCredential: LMHC , CSAT
Location Address1504 BAY RD APT 2003Miami Beach, FL 33139-3277
Mailing Address401 W 25th St Apt 13cNew York, NY 10001-6575 · (917) 453-9306
Phone(917) 453-9306
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 13, 2018
Last NPPES UpdateFebruary 7, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1376022079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 010783
1504 BAY RD APT 2003, Miami Beach, FL 33139
Open in Google Maps ↗

Secondary Practice Location 1

Location 1401 W 25th St Apt 13CNew York, NY 10001-6575 · Phone (917) 453-9306

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Jack Hazan Lmhc , Csat 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 ID1052758695
PECOS Enrollment IDI20240325002636
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

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

JACK HAZAN LLC
Community/Behavioral Health
1504 BAY RD APT 2003
MIAMI BEACH, FL 33139
Miami-Dade County (646) 692-0761

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 Jack Hazan's NPI number?

The NPI number for Jack Hazan is 1376022079. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Jack Hazan located?

Jack Hazan practices at 1504 Bay Rd Apt 2003, Miami Beach, FL 33139. The listed phone number is (917) 453-9306.

What is Jack Hazan's specialty?

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

Is Jack Hazan enrolled in Medicare?

Yes. Jack Hazan 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 Jack Hazan accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company and 2 other insurers list Jack Hazan 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 Jack Hazan was last updated on February 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.