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MS. TAWANDA N. LEWIS-HAZAN LPC, LBS
NPI 1457658247
Counselor - Professional in Philadelphia, PA

Active since February 14, 2011Opted out of Medicare · through Nov 23, 2026
2613 W MIMI CIR, PHILADELPHIA, PA 19131(267) 477-3414 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Nov 4, 2024, Apr 1, 2024 and 2 more (5 updates tracked since 2020).

About Ms. Tawanda N. Lewis-hazan Lpc, Lbs NPPES

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

MS. TAWANDA N. LEWIS-HAZAN LPC, LBS (NPI 1457658247) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC012170) and active in the NPI registry since February 2011. She has opted out of Medicare through November 23, 2026.

NPPES Registry Identity

NPI1457658247
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TAWANDA N. LEWIS-HAZANCredential: LPC, LBS
Location Address2613 W MIMI CIRPhiladelphia, PA 19131-2839
Mailing Address1 Union Ave, Box 2294Bala Cynwyd, PA 19004-9998 · (267) 477-3414
Phone(267) 477-3414
Sole ProprietorYes
Enumeration DateFebruary 14, 2011
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1457658247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC012170
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PC012170 (PA)
Also ListedBehavior AnalystTaxonomy 103K00000X · License BH000710 (PA)
2613 W MIMI CIR, Philadelphia, PA 19131
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Tawanda N. Lewis-hazan Lpc, Lbs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 23, 2024 through November 23, 2026.

Opt-Out Effective DateNovember 23, 2024
Opt-Out In Effect ThroughNovember 23, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Tawanda Lewis-hazan's NPI number?

The NPI number for Tawanda Lewis-hazan is 1457658247. It was assigned to this individual provider in the NPPES registry on February 14, 2011.

Where is Tawanda Lewis-hazan located?

Tawanda Lewis-hazan practices at 2613 W Mimi Cir, Philadelphia, PA 19131. The listed phone number is (267) 477-3414.

What is Tawanda Lewis-hazan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tawanda Lewis-hazan enrolled in Medicare?

No. Tawanda Lewis-hazan has opted out of Medicare through November 23, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tawanda Lewis-hazan was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.