Active NPI
Michael Hazel, LPC
- Professional Counselor
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2961770
- Practice address
- 496 Shoup Ave W
Twin Falls, ID 83301-5834 - Phone
- (208) 683-8320
- Fax
- (208) 969-8380
- NPI assigned
- Apr 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2961770 | ID | Primary |
| Mental Health Counselor | 101YM0800X | 2961770 | ID |
Addresses
Primary practice location
496 Shoup Ave W
Twin Falls, ID 83301-5834
Mailing address
148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320
Other practice location 1
509 Trolley Way
Suite 104
Middleton, ID 83644-6047
Phone (208) 683-8320
Other practice location 2
327 Colorado Ave
Pueblo, CO 81004-2005
Phone (719) 948-7120
Other practice location 3
411 Main St. Unit F
Kamiah, ID 83536
Phone (208) 683-8320
Other practice location 4
213 N Main St Ste 1B
Moscow, ID 83843-2700
Phone (208) 683-8320
Other practice location 5
762 Falls Ave
Twin Falls, ID 83301-3316
Phone (208) 258-7681
Other practice location 6
148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2961770 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corylus Care LLC | Professional | Current | Accepting new patients |
| A Body & Mind Health Services, LLC | Mental Health | Past | Accepting new patients |
| A Body & Mind Health Services, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Twin Falls, ID
- NPI 1235093196
-
- Mental Health Counselor
- Boise, ID
- NPI 1326501305
-
- Mental Health Counselor
- Boise, ID
- NPI 1891396099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1336943448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090932",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 SHOUP AVE W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015834",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380"
}
],
"practiceLocations": [
{
"address_1": "509 Trolley Way",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "ID",
"postal_code": "836446047",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "327 Colorado Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810042005",
"country_code": "US",
"telephone_number": "719-948-7120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Main St. Unit F",
"address_purpose": "LOCATION",
"city": "Kamiah",
"state": "ID",
"postal_code": "83536",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "213 N Main St Ste 1B",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838432700",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "762 Falls Ave",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833013316",
"country_code": "US",
"telephone_number": "208-258-7681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "148 S Cole Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837090932",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZEL",
"first_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-01",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "2961770",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "2961770",
"primary": false
}
],
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.