Organization Active NPI

Crystal K. Hazelwood & Associates P.a.

  • School Counselor
  • Orange Park, FL
National Provider Identifier
1205900644
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
614406 Issued in FL
Legal business name
CRYSTAL K. HAZELWOOD & ASSOCIATES P.A.
Practice address
1950 Miller St
Suite 6
Orange Park, FL 32073-4759
Phone
(904) 269-5356
Fax
(904) 269-2088
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Crystal K Hazelwood, LMHC MAC
Title
President
Phone
(904) 269-4783

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X CAP1893L FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH4540 FL
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X 614406 FL Primary

Addresses

Primary practice location

1950 Miller St
Suite 6
Orange Park, FL 32073-4759

Mailing address

56 Mitchell Ave
Orange Park, FL 32073-5965
Phone (904) 269-4783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205900644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MITCHELL AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735965",
            "telephone_number": "904-269-4783",
            "fax_number": "904-269-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MILLER ST",
            "address_2": "SUITE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734759",
            "telephone_number": "904-269-5356",
            "fax_number": "904-269-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL K. HAZELWOOD & ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAZELWOOD",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-269-4783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC MAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP1893L",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4540",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "614406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.