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

Hazel Moon, LPC

Individual provider Professional Counselor · NPI 1083186431

Hazel Moon, LPC is a Mental Health Counselor in Russellville, Arkansas. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

307 James Cir
Russellville, AR 72801-5829
Phone: (479) 880-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2202000 (AR)

Record details

NPI number1083186431
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 26, 2018
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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