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

Q: 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.

Q: What is Scott Haslam's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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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 CareSource, MedMutual, Oscar Insurance Corporation of Ohio and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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