DR. BRENT T BLAISDELL PH.D.
NPI 1528461241
Marriage & Family Therapist in Ogden, UT

Q: What is Brent Blaisdell's NPI number?

The NPI number for Brent Blaisdell is 1528461241. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Q: What is Brent Blaisdell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Blaisdell was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 October 08, 2014PECOS EnrolledAccepts Medicare Assignment

4403 HARRISON BLVD STE 700A, OGDEN, UT 84403(801) 387-5300(801) 387-5333 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Brent T Blaisdell Ph.d. NPPES

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

DR. BRENT T BLAISDELL PH.D. (NPI 1528461241) is an individual marriage & family therapist in Ogden, Utah, licensed in Utah (273961-3902) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528461241

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDR. BRENT T BLAISDELLCredential: PH.D.

Location Address4403 HARRISON BLVD STE 700AOgden, UT 84403-3295

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 387-5300

Phone(801) 387-5300

Fax(801) 387-5333

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 8, 2014

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1528461241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in UT · 273961-3902

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4403 HARRISON BLVD STE 700A, Ogden, UT 84403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brent T Blaisdell Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557706264

PECOS Enrollment IDI20240304001356

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.

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