Hazel Tree Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HAZEL TREE WELLNESS, LLC

Practice address

75 S Main St
PMB 335
Concord, NH 03301-4868

Phone

(301) 202-4495

NPI assigned

Feb 19, 2024

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Desmond Jasper Stern, LCMHCNPI 1558870592

Title

Owner/Clinician

Phone

(301) 202-4495

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desmond Stern, MS, LCMHC

  • Mental Health Counselor
  • Concord, NH
  • NPI 1558870592
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1093570145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST",
            "address_2": "PMB 335",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014868",
            "telephone_number": "301-202-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST",
            "address_2": "PMB 335",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014868",
            "telephone_number": "301-202-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL TREE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "JASPER",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "301-202-4495",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Hawkinson, MA
• Sarah Beth Haxhija, LADC, CRSW
• Francis R. Hayes, MD
• Jesse Hayes
• Sally Hayslip, AS
• Jamie Evelyn Hazel, PRE-LICENSED CMHC
• Emily Louise Clement Hazelton, APRN
• Karissa Hazen
• HCA Health Services of New Hampshire, Inc. (Parkland Center for Emotional Wellness, a department of Parkland Medical Center)
• Janice Jia He, MD

• Mental Health Counselor in Concord, NH
• Providers in Concord, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.