Tawanda N. Lewis-Hazan, LPC, LBS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012170 Issued in PA

Practice address

2613 W Mimi Cir
Philadelphia, PA 19131-2839

Phone

(267) 477-3414

NPI assigned

Feb 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 23, 2024 through Nov 23, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1457658247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION AVE",
            "address_2": "BOX 2294",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190049998",
            "telephone_number": "267-477-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 W MIMI CIR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312839",
            "telephone_number": "267-477-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-HAZAN",
        "first_name": "TAWANDA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LPC, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000710",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012170",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Lewicki, MOT, OTR/L
• Isabella Lewin
• Naomi Lewin, M.D.
• Gabrielle Victoria Marie Lewine, PHD
• Nicole A Lewinski
• Iris L Lewis-Moody, D.D.S.
• Angelique Lewis, REGISTERED NURSE
• Barbara A Lewis, C.R.N.P.
• Bernell Antoinette Lewis
• Carlton Taylor Lewis, M.D.

• Professional Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.