Individual provider Active NPI

Katherine Hazelwood, MA, LPC, NCC

  • Professional Counselor
  • Harbor Springs, MI
National Provider Identifier
1083494363
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401226599 Issued in MI
Practice address
8482 M 119 Ste 17B
Harbor Springs, MI 49740-9581
Phone
(231) 412-0660
Fax
(231) 881-9132
NPI assigned
Oct 3, 2023
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401226599 MI Primary

Addresses

Primary practice location

8482 M 119 Ste 17B
Harbor Springs, MI 49740-9581

Mailing address

8482 M 119 Ste 17B
Harbor Springs, MI 49740-9581
Phone (231) 412-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451023862MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pillars of Wellness CurrentSince Oct 8, 2023 Accepting new patients

Locations

521 E 86th Ave
Ste H
Merrillville, IN 46410
Phone (219) 323-3311

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1083494363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8482 M 119 STE 17B",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409581",
            "telephone_number": "231-412-0660",
            "fax_number": "231-881-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8482 M 119 STE 17B",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409581",
            "telephone_number": "231-412-0660",
            "fax_number": "231-881-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD",
        "first_name": "KATHERINE",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401226599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.