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

Jack Hazan, LMHC, CSAT

Individual provider Mental Health Counselor · NPI 1376022079

Jack Hazan, LMHC, CSAT is a Mental Health Counselor in Miami Beach, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1504 Bay Rd Apt 2003
Miami Beach, FL 33139-3277
Phone: (917) 453-9306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 W 25th St Apt 13c, New York, NY 10001-6575 — (917) 453-9306

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 010783 (NY)
Mental Health Counselor Taxonomy 101YM0800X (NY)

Record details

NPI number1376022079
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHC , CSAT
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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