Marion Patrick Hazelton I, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7155 Issued in LA

Practice address

Pathways Red River Treatment Center
242 West Shamrock Ave Unit 6 Melody Lane
Pineville, LA 71360

Phone

(318) 441-5900

NPI assigned

Aug 30, 2017

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1508384587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 COLISEUM BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033714",
            "telephone_number": "318-443-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PATHWAYS RED RIVER TREATMENT CENTER",
            "address_2": "242 WEST SHAMROCK AVE UNIT 6 MELODY LANE",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-441-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELTON",
        "first_name": "MARION",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Hayes, SLP CCC
• Jessica Magen Hayes, MS,RD,LDN
• Tracy Hayes, NP
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• Kimberly Hayward
• Health Shield, Inc.
• Timothy Heard
• Jayne Leta Heath, FNP
• Adam J Hebert, D.C.
• Jessica Hargis Hebert, PHARMD

• Professional Counselor in Pineville, LA
• Providers in Pineville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.