Individual provider Active NPI

Valannda Latice Hazzard, LPC

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1174102354
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C3709A Issued in AL
Practice address
2905 Westcorp Blvd SW Ste 213a
Huntsville, AL 35805-6411
Phone
(256) 886-8534
NPI assigned
Apr 6, 2021
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C3709A AL Primary

Addresses

Primary practice location

2905 Westcorp Blvd SW Ste 213a
Huntsville, AL 35805-6411

Mailing address

2905 Westcorp Blvd SW Ste 213a
Huntsville, AL 35805-6411
Phone (256) 886-8534

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

State licenses

LicenseStateTypeSpecialty
C3709AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valannda Hazzard Counseling LLC Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

101 Lowe Ave SE
Ste 2A
Huntsville, AL 35801
Phone (256) 400-1111

2905 Westcorp Blvd SW
Ste 213A
Huntsville, AL 35805
Phone (256) 886-8534

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1174102354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 WESTCORP BLVD SW STE 213A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056411",
            "telephone_number": "256-886-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 WESTCORP BLVD SW STE 213A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056411",
            "telephone_number": "256-886-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZZARD",
        "first_name": "VALANNDA",
        "middle_name": "LATICE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3709A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.