Organization Active NPI

Hazel Mackey Center

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1306992938
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAZEL MACKEY CENTER
Practice address
1128 S 5TH St
Springfield, IL 62703-2314
Phone
(217) 544-0388
Fax
(217) 544-0391
NPI assigned
Jan 26, 2007
Last updated
Sep 11, 2025By the provider in NPPES
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
Mr. Barney M Bruzetti, CPA
Title
Chief Fiscal Officer
Phone
(217) 544-0388

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-00384 IL
Professional Counselor 101YP2500X IL
Clinical Social Worker 1041C0700X IL
Clinical Social Worker 1041C0700X IL Primary
Marriage & Family Therapist 106H00000X IL

Addresses

Primary practice location

1128 S 5TH St
Springfield, IL 62703-2314

Mailing address

1128 S 5TH St
Springfield, IL 62703-2314
Phone (217) 544-0388

National Provider Directory

National Provider Directory

Locations

1128 S 5th St
Springfield, IL 62703
Phone (217) 544-0388

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306992938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032314",
            "telephone_number": "217-544-0388",
            "fax_number": "217-544-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032314",
            "telephone_number": "217-544-0388",
            "fax_number": "217-544-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL MACKEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRUZETTI",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "217-544-0388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-00384",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

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.