Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Hazan LLC

Organization Mental Health Counselor · NPI 1508639279

Jack Hazan LLC is a Mental Health Counselor in Miami Beach, Florida. Works from 3 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1504 Bay Rd Apt 2003
Miami Beach, FL 33139-3277
Phone: (646) 692-0761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 401 W 25th St Apt 13c, New York, NY 10001-6575 — (917) 453-9306
  • 16 E 41st St Ste 5c, New York, NY 10017-6217 — (646) 692-0761

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1508639279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Hazan — Owner · (917) 453-9306
NPI enumeratedNovember 3, 2023
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address401 W 25th St Apt 13c, New York, NY 10001-6575

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