Organization Active NPI

Mary C. Hazzard, LCPC

  • Professional Counselor
  • South Portland, ME
National Provider Identifier
1699588970
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jan 30, 2025

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name
  • MARY C. MORRISON Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.