DEMETRA S HAZATONES (LADC, LCMHC) – Addiction (Substance Use Disorder) Counselor, NPI 1083907281

DEMETRA S HAZATONES (LADC, LCMHC) is a healthcare provider. based in Randolph, Vermont. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LADC, LCMHC. They hold a License No. 068.0122237 (VT). The NPI Number for DEMETRA S HAZATONES (LADC, LCMHC) is 1083907281

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DEMETRA S HAZATONES (LADC, LCMHC)
NPI
1083907281
Phone
(802) 728-4466
Address
PO BOX G
Enumeration Date
20 May 2011
Last Update Date
29 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8027284466236
Graduation Year
2005 (21 years ago)
PAC ID
2466804570
Group Practice PAC ID
1951395367
Professional Enrollment ID
I20240113000274
Address ID
VT050601126RA11XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

357 MENTAL HEALTH COUNSELOR in VT

Provider Addresses for DEMETRA S HAZATONES (LADC, LCMHC)

  • PO BOX G

    RANDOLPH, VT 050600167

    Phone: (802) 728-4466

    Fax: (802) 728-4197

    Type: Mailing

  • 1483 LOWER PLAIN

    BRADFORD, VT 05033

    Phone: (802) 222-4477

    Fax: (802) 222-3242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240113000274IMental Health CounselorVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951395367View full group profile
NameSpecialtyState
Mental Health CounselorVT
-VT
-VT
Mental Health CounselorVT
P S Y C H I A T R YVT
Mental Health CounselorVT
Mental Health CounselorVT
Mental Health CounselorVT
Mental Health CounselorVT
Nurse PractitionerVT

Reviews

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Frequently asked questions

What is DEMETRA S HAZATONES (LADC, LCMHC)'s NPI number?
DEMETRA S HAZATONES (LADC, LCMHC)'s NPI is 1083907281 — the number used across U.S. healthcare to identify this provider.
Is DEMETRA S HAZATONES (LADC, LCMHC) still an active registrant?
DEMETRA S HAZATONES (LADC, LCMHC) carries an active NPI according to the public dataset.
What expertise is attributed to DEMETRA S HAZATONES (LADC, LCMHC)?
DEMETRA S HAZATONES (LADC, LCMHC)'s specialty line reads Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with DEMETRA S HAZATONES (LADC, LCMHC)?
Directory geography for DEMETRA S HAZATONES (LADC, LCMHC) centers on Randolph, Vermont.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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