Individual provider Active NPI

Sarah E Hazlett-Walkowicz, LPC

  • Counselor
  • Jackson, MI
National Provider Identifier
1366672370
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401011443 Issued in MI
Practice address
1522Joy Avenue
Jackson, MI 49203
Phone
(517) 782-2551
Fax
(517) 783-1986
NPI assigned
Jul 24, 2009
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401011443 MI Primary
Professional Counselor 101YP2500X 6401011443 MI

Addresses

Primary practice location

1522Joy Avenue
Jackson, MI 49203

Mailing address

1522Joy Avenue
Jackson, MI 49203
Phone (517) 782-2551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001743 MI Practitioner - Mental Health Counselor 3870943129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Healing Place LLCGroup PAC ID 0547575029, 14 clinicians

Practice addresses (Care Compare)

207 1St St
Jackson, MI 49201-2102
Phone (517) 998-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401011443MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Healing Place, LLC CurrentSince Jan 25, 2024 Accepting new patients

Locations

1218 Greenwood Ave
Jackson, MI 49203
Phone (517) 990-0596

207 1st St
Jackson, MI 49201
Phone (517) 425-4547

Interoperability endpoints

  • Direct secure messaging: shazlettwalkowicz493001@direct.hfhs.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1366672370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522JOY AVENUE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-782-2551",
            "fax_number": "517-783-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522JOY AVENUE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-782-2551",
            "fax_number": "517-783-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLETT-WALKOWICZ",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401011443",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.