Nicole Renee Hazel, BSW

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Practice address

5896 Crosscut LN
Noblesville, IN 46062-9672

Phone

(317) 200-0046

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Behavior Therapeutic Services, LLC

  • Social Worker
  • Avon, IN
  • NPI 1215709365
  NPD Authorized official

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1780231233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5896 CROSSCUT LN",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460629672",
            "telephone_number": "317-200-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5896 CROSSCUT LN",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460629672",
            "telephone_number": "317-200-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZEL",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Hathcock
• Tonie Hathcock
• Deborah Leigh-Ann Pearce Hawkins, NP
• Hannah Hawkins
• Sydney Hayes
• Chad Owen Hazelrigg, D.D.S., M.S.D.
• Megan Marie Hazelrigg, PHYSICAL THERAPIST
• Healing From Within
• Hearing Lifestyles LLC
• Hearn Family Dentistry P.C.

• Adolescent and Children Mental Health Clinic/Center in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.