BENJAMIN BARRET HASLAM – Marriage & Family Therapist, NPI 1659914406

BENJAMIN BARRET HASLAM is a healthcare provider. based in Hurricane, Utah. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 10444176-3902 (UT). The NPI Number for BENJAMIN BARRET HASLAM is 1659914406

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN BARRET HASLAM
NPI
1659914406
Phone
(435) 619-4170
Address
736 S 180 W
Enumeration Date
24 October 2019
Last Update Date
24 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356881111
Graduation Year
2017 (9 years ago)
PAC ID
8820524127
Group Practice PAC ID
8224369897
Professional Enrollment ID
I20241210003470
Address ID
UT846245555DE95XXXAVEX401

Contacts

Other Endpoint
Benjamin@liahonaacademy.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

148 MARRIAGE AND FAMILY THERAPIST in UT

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Provider Addresses for BENJAMIN BARRET HASLAM

  • 736, South 180 West, Hurricane, Washington County, Utah, 84737, United States

    HURRICANE, UT 847372317

    Phone: (435) 619-4170

    Type: Mailing

  • 9, North Shore Road, Saint Thomas - Saint John District, United States Virgin Islands, 00831, United States

    VIRGIN, UT 847795025

    Phone: (435) 619-4170

    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: 2024-12-10

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
I20241210003470IMarriage And Family TherapistUTTBD

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 84737)

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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: 8224369897View full group profile
NameSpecialtyState
Marriage And Family TherapistUT
Marriage And Family TherapistUT
Nurse PractitionerUT
Nurse PractitionerUT
Clinical Social WorkerUT
Marriage And Family TherapistUT
Clinical Social WorkerNV
Nurse PractitionerUT
Mental Health CounselorUT
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

What unique ID ties claims to BENJAMIN BARRET HASLAM?
NPI 1659914406 is assigned to BENJAMIN BARRET HASLAM under the national enumeration system.
Does this profile mean BENJAMIN BARRET HASLAM is currently active?
Yes — BENJAMIN BARRET HASLAM appears active in the national provider directory.
What field does BENJAMIN BARRET HASLAM work in?
You can think of BENJAMIN BARRET HASLAM as practicing within Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Does BENJAMIN BARRET HASLAM practice in Utah?
You will see Hurricane, Utah on file for BENJAMIN BARRET HASLAM alongside any extra practice locations.
How can I contact BENJAMIN BARRET HASLAM?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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