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JACQUELINE HAZEL
NPI 1437726924
Marriage & Family Therapist in Roseville, CA

Active since June 04, 2021PECOS Enrolled
1382 BLUE OAKS BLVD STE 213, ROSEVILLE, CA 95678(877) 412-8031 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 17, 2026, Jun 14, 2024, Jun 4, 2021 (3 updates tracked since 2021).

About Jacqueline Hazel NPPES

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

JACQUELINE HAZEL (NPI 1437726924) is an individual marriage & family therapist in Roseville, California, licensed in California (143015) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in La Mesa.

NPPES Registry Identity

NPI1437726924
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE HAZEL
Location Address1382 BLUE OAKS BLVD STE 213Roseville, CA 95678-7052
Mailing Address1382 Blue Oaks Blvd Ste 213Roseville, CA 95678-7052 · (877) 412-8031
Phone(877) 412-8031
Sole ProprietorNo
Enumeration DateJune 4, 2021
Last NPPES UpdateApril 17, 20263 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1437726924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 143015
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1382 BLUE OAKS BLVD STE 213, Roseville, CA 95678
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Other Names 1

Former Name (1)Jacqueline Kunde

Secondary Practice Location 1

Location 17766 Orien AveLA Mesa, CA 91941-6211 · Phone (623) 696-8895

Other Identifiers 1

Other143015CA · Lmft

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Hazel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Hazel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
106 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 20

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

DESIREE RAKELA
Marriage & Family Therapist
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (916) 741-0565
NIKKI LANE
Counselor (Mental Health)
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (877) 412-8031
IVUOMA UMOZURIKE
Health and Wellness Coach
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (877) 412-8031
MRS. BLANCA ZOBEYDA THUN MA, APCC
Counselor (Mental Health)
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (916) 400-0533
ROBYN GONZALES
Counselor (Mental Health)
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (877) 412-8031
PAYTON GIBO DENNY M.A
Counselor (Mental Health)
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (877) 412-8031
JESSICA ANGULO-VALENZUELA LCSW
Social Worker (Clinical)
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (805) 305-7656
JESSICA TORRES
Counselor (Mental Health)
1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA 95678
Placer County (916) 908-8196

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 Jacqueline Hazel's NPI number?

The NPI number for Jacqueline Hazel is 1437726924. It was assigned to this individual provider in the NPPES registry on June 4, 2021. The provider is also known as Jacqueline Kunde.

Where is Jacqueline Hazel located?

Jacqueline Hazel practices at 1382 Blue Oaks Blvd Ste 213, Roseville, CA 95678. The listed phone number is (877) 412-8031.

What is Jacqueline Hazel's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacqueline Hazel enrolled in Medicare?

Yes. Jacqueline Hazel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Hazel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Hazel reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The 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 Jacqueline Hazel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Hazel was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.