Individual provider Active NPI

Isobel Hazlehurst, MFT

  • Marriage & Family Therapist
  • Vista, CA
National Provider Identifier
1336404839
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT25557 Issued in CA
Practice address
641 Mimosa Ave
Vista, CA 92081-8153
Phone
(760) 271-1601
Fax
(760) 295-4907
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT25557 CA Primary

Addresses

Primary practice location

641 Mimosa Ave
Vista, CA 92081-8153

Mailing address

641 Mimosa Ave
Vista, CA 92081-8153
Phone (760) 271-1601

Other names 1

  • Belle Hazlehurst Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT25557CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1336404839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MIMOSA AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818153",
            "telephone_number": "760-271-1601",
            "fax_number": "760-295-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 MIMOSA AVE",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818153",
            "telephone_number": "760-271-1601",
            "fax_number": "760-295-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEHURST",
        "first_name": "ISOBEL",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT25557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BELLE",
            "last_name": "HAZLEHURST",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.