Individual provider Active NPI

Hazel Shirree Rain Heythaler

  • Behavior Technician
  • Cheboygan, MI
National Provider Identifier
1982512125
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.