Active NPI
Jenny Lyn Hazlett, LPC
- Counselor
- Fort Morgan, CO
National Provider Identifier
1770089740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC.0018069
- Practice address
- 109 W Beaver Ave
Fort Morgan, CO 80701-2123 - Phone
- (970) 616-0723
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO | ||
| Counselor | 101Y00000X | LPC.0018069 | CO | Primary |
Addresses
Primary practice location
109 W Beaver Ave
Fort Morgan, CO 80701-2123
Mailing address
109 W Beaver Ave
Fort Morgan, CO 80701-2123
Phone (970) 616-0723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0018069 | CO | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Hawpe and Associates, PC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
- NPI 1003871328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715385600000",
"number": "1770089740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W BEAVER AVE",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807012123",
"telephone_number": "970-616-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W BEAVER AVE",
"city": "FORT MORGAN",
"state": "CO",
"postal_code": "807012123",
"telephone_number": "970-616-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZLETT",
"first_name": "JENNY",
"middle_name": "LYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2024-05-11",
"certification_date": "2024-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPC.0018069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Morgan, CO
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- Nicole Hall, FNP-C
- Hanan Transportation LLC
- Harold W. Anderson LLC (A Window of Hope Counseling Center)
- Hayli Karbowski, MD, PLLC
- Healthone Clinic Services - Pediatric Specialties LLC
- Jacqueline Marie Heaney, PHARMD
- Kristen Heller, LCSW
- Elias Hernandez, MD
- High Plains Eye Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.