Hazel Moon, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2202000 Issued in AR

Practice address

307 James Cir
Russellville, AR 72801-5829

Phone

(479) 880-3682

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crescent Moon Awakening

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1316804891
  NPD Authorized official
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment
• Brighter Day Ar LLC

  • Specialist
  • Rogers, AR
  • NPI 1750242111
  Medicare reassignment
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1346814670
  NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD
• Conway County Community Service Inc

  • Community/Behavioral Health Agency
  • Clarksville, AR
  • NPI 1033344379
  NPD (past)
• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Morrilton, AR
  • NPI 1770631467
  NPD (past)
• Harbor House Incorporated of Fort Smith Arkansas

  • Substance Abuse Rehabilitation Facility
  • Fort Smith, AR
  • NPI 1922166123
  NPD (past)
• Life Strategies Counseling, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Pocahontas, AR
  • NPI 1427656099
  NPD (past)

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1083186431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 JAMES CIR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015829",
            "telephone_number": "479-880-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 JAMES CIR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015829",
            "telephone_number": "479-880-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "HAZEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2202000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mize, PT, DPT
• Kane Michael Moix, PT, DPT
• Emory Molitor, DT
• Monfee Medical Clinic
• Andrew Mason Monfee, M.D.
• Connie Moore
• Megan Moore
• Megan Leann Moore, PHARM D
• Laura Morales, APRN-CNP
• Justin Thomas Morden, O.D.

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.