Active NPI
Mary C. Hazzard, LCPC
- Professional Counselor
- South Portland, ME
National Provider Identifier
1699588970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MARY C. HAZZARD, LCPC
- Practice address
- 331 Cottage Rd
South Portland, ME 04106-3816 - Phone
- (207) 767-4600
- NPI assigned
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary C Hazzard, LCPC
- Title
- Owner/LCPC
- Phone
- (207) 767-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
331 Cottage Rd
South Portland, ME 04106-3816
Mailing address
PO Box 2777
South Portland, ME 04116-2777
Phone (207) 767-4600
Other names 2
- MARY C. HAZZARD-MORRISON
- MARY C. MORRISON
National Provider Directory
National Provider DirectoryLocations
331 Cottage Rd
South Portland, ME 04106
Phone (207) 767-4600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1699588970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2777",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041162777",
"telephone_number": "207-767-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 COTTAGE RD",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063816",
"telephone_number": "207-767-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY C. HAZZARD, LCPC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "HAZZARD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/LCPC",
"authorized_official_telephone_number": "207-767-4600",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MARY C. HAZZARD-MORRISON",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MARY C. MORRISON",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.