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MR. SCOTT VINCENT HASLAM M.A.ED., LPC, MFT
NPI 1285090860
Counselor - Mental Health in Kent, OH

Active since January 12, 2016PECOS Enrolled
143 GOUGLER AVE, KENT, OH 44240(330) 677-4124(330) 677-4134 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jan 18, 2018, Jan 12, 2016 (3 updates tracked since 2016).

About Mr. Scott Vincent Haslam M.a.ed., Lpc, Mft NPPES

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

MR. SCOTT VINCENT HASLAM M.A.ED., LPC, MFT (NPI 1285090860) is an individual mental health provider in Kent, Ohio, licensed in Ohio (C.1500591) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Akron, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1285090860
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SCOTT VINCENT HASLAMCredential: M.A.ED., LPC, MFT
Location Address143 GOUGLER AVEKent, OH 44240-2401
Mailing Address204 Stoddard AveAkron, OH 44313-6355
Phone(330) 677-4124
Fax(330) 677-4134
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 12, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1285090860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.1500591
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License M.1600031 (OH)
143 GOUGLER AVE, Kent, OH 44240
Open in Google Maps ↗

Secondary Practice Location 1

Location 1812 Biruta StAkron, OH 44307-1104 · Phone (330) 762-7481

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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. Scott Vincent Haslam M.a.ed., Lpc, Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022450600
PECOS Enrollment IDI20240528003448
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Avenues Of Counseling And Mediation
26 mi
Mental Health
230 S COURT ST, SUITE 5
Medina, OH 44256
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
NPI 1225253107 (330) 723-7977

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 20

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

ALYSSA CROSLEY CDCA
Case Manager/Care Coordinator
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 296-2384
MS. DINA MARIE DOUGLAS LISW-S
Social Worker (Clinical)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
NAHJA CHESNEY
Case Manager/Care Coordinator
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
LYDIA MAE AVERY PHARMD
Pharmacist
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 785-2054
MARINA JEAN MICELI LPCC
Counselor (Professional)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
MARIA ROSATI FNP-C
Nurse Practitioner (Family)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 673-1016
MR. JOSEPH J ZIARKO LICDC
Counselor (Addiction (Substance Use Disorder))
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124
SARAH ROBINSON LPC
Counselor (Professional)
143 GOUGLER AVE
KENT, OH 44240
Portage County (330) 677-4124

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 Scott Haslam's NPI number?

The NPI number for Scott Haslam is 1285090860. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Scott Haslam located?

Scott Haslam practices at 143 Gougler Ave, Kent, OH 44240. The listed phone number is (330) 677-4124.

What is Scott Haslam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Scott Haslam enrolled in Medicare?

Yes. Scott Haslam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Haslam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Haslam reassigns Medicare benefits to Avenues Of Counseling And Mediation (Medina, OH). 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 Scott Haslam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Haslam accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Insurance Corporation of Ohio and SummaCare and 1 other insurer list Scott Haslam 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 Scott Haslam was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.