Individual provider Active NPI

Laura C Hazard, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1184217655
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018016376 Issued in MO
Practice address
1300 Hampton Ave Ste 107
Saint Louis, MO 63139-3163
Phone
(417) 366-0761
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 2018016376 MO Primary

Addresses

Primary practice location

1300 Hampton Ave Ste 107
Saint Louis, MO 63139-3163

Mailing address

5855 Cedar View PL Apt E
Saint Louis, MO 63128-4040
Phone (417) 366-0761

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
2018016376MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1184217655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 CEDAR VIEW PL APT E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284040",
            "telephone_number": "417-366-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HAMPTON AVE STE 107",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393163",
            "telephone_number": "417-366-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018016376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.