Bespoke Therapy Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BESPOKE THERAPY INC

Practice address

1300 N Laurel Ave Apt 17
West Hollywood, CA 90046-4613

Phone

(646) 374-2827

NPI assigned

Apr 7, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack HazanNPI 1376022079

Title

Owner

Phone

(917) 453-9306

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Hazan, LMHC , CSAT

  • Mental Health Counselor
  • Miami Beach, FL
  • NPI 1376022079
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1003600933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 25TH ST APT 13C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N LAUREL AVE APT 17",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900464613",
            "telephone_number": "646-374-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "HAZAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-453-9306"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kirstie Berry, MD
• Nicole Alexandra Berry, MD
• Weston J Bertot, MD
• Dainis Andrejs Berzins, DO
• Jessica Michelle Sedley Besbris, M.D.
• Beverly Hills Cardiology Hospital Services Apc
• Beverly Hills Gastroenterology, LLC
• Beverly Sunset Surgical Associates, LLC
• Swati Bhardwaj, MBBS, MD
• Tanya Bhardwaj

• Mental Health Counselor in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.