MR. JARED BENNETT CCC/SLP
NPI 1104058163
Speech-Language Pathologist in South Jordan, UT

Active since August 10, 2009
1098 W 10550 S, SOUTH JORDAN, UT 84095(801) 253-1023 Get Directions Write a Review

NPPES record last updated: August 10, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jared Bennett Ccc/slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JARED BENNETT CCC/SLP (NPI 1104058163) is an individual speech-language pathologist provider in South Jordan, Utah, licensed in Utah (5223035-4102) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1104058163
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. JARED BENNETTCredential: CCC/SLP
Location Address1098 W 10550 SSouth Jordan, UT 84095-8597
Mailing Address1098 W 10550 SSouth Jordan, UT 84095-8597 · (801) 253-1023
Sole ProprietorYes
Enumeration DateAugust 10, 2009
✔ NPI 1104058163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in UT · 5223035-4102
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1098 W 10550 S, South Jordan, UT 84095

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jared Bennett Ccc/slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jared Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
1098 W 10550 S
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1098 W 10550 S
SOUTH JORDAN, UT 84095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Bennett's NPI number?

The NPI number for Jared Bennett is 1104058163. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Jared Bennett located?

Jared Bennett practices at 1098 W 10550 S, South Jordan, UT 84095. The listed phone number is (801) 253-1023.

What is Jared Bennett's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jared Bennett enrolled in Medicare?

Yes. Jared Bennett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Bennett reassigns Medicare benefits to South Valley Speech And Language, LLC (South Jordan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Bennett accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jared Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jared Bennett was last updated on August 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.