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

Mr. Michael B Hazeltine, MA, LPC

Individual provider Mental Health Counselor · NPI 1215413091

Mr. Michael B Hazeltine, MA, LPC is a Mental Health Counselor in Tyler, Texas. Qualified in 2017, 9 years ago. Practices with Second Story Counseling II LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

218 N College Ave
Tyler, TX 75702-5715
Phone: (903) 593-9141
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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 79720 (TX)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1215413091
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorNo
NPI enumeratedJuly 16, 2018
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Second Story Counseling Ii Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tyler