Organization Active NPI

Corylus Care LLC

  • Professional Counselor
  • Twin Falls, ID
National Provider Identifier
1235093196
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CORYLUS CARE LLC
Practice address
250 Main Ave N Ste B
Twin Falls, ID 83301-6102
Phone
(913) 558-5194
NPI assigned
Dec 15, 2025
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Michael Hazel, LPCNPI 1336943448
Title
Counselor / Owner
Phone
(913) 558-5194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

250 Main Ave N Ste B
Twin Falls, ID 83301-6102

Mailing address

1508 Maple Ave
Twin Falls, ID 83301-6641
Phone (913) 558-5194

National Provider Directory

National Provider Directory

Locations

250 Main Ave N
Ste B
Twin Falls, ID 83301
Phone (913) 558-5194

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1235093196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MAPLE AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016641",
            "telephone_number": "913-558-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN AVE N STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016102",
            "telephone_number": "913-558-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORYLUS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COUNSELOR / OWNER",
        "authorized_official_telephone_number": "913-558-5194",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.