Active NPI
Hazel Shirree Rain Heythaler
- Behavior Technician
- Cheboygan, MI
National Provider Identifier
1982512125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1115 E State St
Cheboygan, MI 49721-2124 - Phone
- (231) 420-6058
- NPI assigned
- Aug 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | MI | Primary |
Addresses
Primary practice location
1115 E State St
Cheboygan, MI 49721-2124
Mailing address
3215 Lalonde Rd
Cheboygan, MI 49721-8600
Phone (231) 420-6058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1982512125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 LALONDE RD",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497218600",
"telephone_number": "231-420-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E STATE ST",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497212124",
"telephone_number": "231-420-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYTHALER",
"first_name": "HAZEL",
"middle_name": "SHIRREE RAIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheboygan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.