JACK HAZAN LMHC , CSAT
NPI 1376022079
Counselor - Mental Health in Miami Beach, FL
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jack Hazan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami Beach, FL 33139
- Reassigned Medicare billing, Florida and New York enrollments
Miami, FL 33130
- Reassigned Medicare billing, Florida, New York and Vermont enrollments
- 3,079 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, New York enrollment
- 144 clinicians in this Medicare group
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 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
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 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.
Which organizations bill Medicare for Jack Hazan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hazan reassigns Medicare benefits to 4 organizations: Jack Hazan LLC (Miami Beach, FL), Grow Healthcare Group PA (Miami, FL), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). 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 Jack Hazan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Hazan accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jack Hazan, LMHC , CSAT · NPI 1376022079
Mental Health provider in Miami Beach, Florida. Individual provider, active in the CMS NPPES registry since August 13, 2018.
## Identity
- **NPI:** 1376022079 (Entity type: Individual)
- **Enumerated:** August 13, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 010783 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1504 BAY RD APT 2003, Miami Beach, FL 33139-3277
- **Phone:** (917) 453-9306
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Jack Hazan LLC (NPI 1508639279, Miami Beach, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376022079) · Data from the CMS NPPES public registry.