Individual provider Active NPI

Hazel Dell Parrish, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Louisville, KY
National Provider Identifier
1306018700
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
164926 Issued in KY
Practice address
801 W Broadway Ste 4
Louisville, KY 40202-2236
Phone
(502) 417-2566
Fax
(502) 305-6578
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 164926 KY Primary

Addresses

Primary practice location

801 W Broadway Ste 4
Louisville, KY 40202-2236

Mailing address

801 W Broadway Ste 4
Louisville, KY 40202-2236
Phone (502) 417-2566

Other names 1

  • Hazel Dell Breland Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge the Gap Wellness Center Inc Addiction (Substance Use Disorder) CurrentSince Jun 8, 2025 Accepting new patients
Bridge the Gap Addiction and Mental Health Services Addiction (Substance Use Disorder) CurrentSince Sep 20, 2021 Accepting new patients

Locations

1115 Garvin Pl
Louisville, KY 40203
Phone (502) 416-8783

801 W Broadway
Ste 5
Louisville, KY 40202
Phone (502) 417-2566

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1306018700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BROADWAY STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022236",
            "telephone_number": "502-417-2566",
            "fax_number": "502-305-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BROADWAY STE 4",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022236",
            "telephone_number": "502-417-2566",
            "fax_number": "502-305-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "HAZEL",
        "middle_name": "DELL",
        "name_prefix": "Mrs.",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL",
            "last_name": "BRELAND",
            "middle_name": "DELL",
            "credential": "LCADC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.