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BLAKE THOMAS HALLIDAY LMFT
NPI 1710068473
Marriage & Family Therapist in Riverdale, UT

Active since October 18, 2006Opted out of Medicare · through Feb 3, 2028
5149 S 1500 W, RIVERDALE, UT 84405(801) 475-0402(801) 475-7464 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Thomas Halliday Lmft NPPES

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

BLAKE THOMAS HALLIDAY LMFT (NPI 1710068473) is an individual marriage & family therapist in Riverdale, Utah, licensed in Utah (5989003-3902) and active in the NPI registry since October 2006. He has opted out of Medicare through February 3, 2028.

NPPES Registry Identity

NPI1710068473
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBLAKE THOMAS HALLIDAYCredential: LMFT
Location Address5149 S 1500 WRiverdale, UT 84405-3926
Mailing Address5149 S 1500 WRiverdale, UT 84405-3926 · (801) 475-0402 · Fax (801) 475-7464
Phone(801) 475-0402
Fax(801) 475-7464
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 4, 2010
✔ NPI 1710068473 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 · 5989003-3902
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.
5149 S 1500 W, Riverdale, UT 84405
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Other Identifiers 3

Medicare ID-Type Unspecified000055266
Other260022408Railroad Medicare
Medicaid876000308007UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Blake Thomas Halliday Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2026 through February 3, 2028.

Opt-Out Effective DateFebruary 3, 2026
Opt-Out In Effect ThroughFebruary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

DR. THERESA STUELAND KAY PHD CLINICAL PSYCHOL
Psychologist
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
LIVINGSTON COUNSELING, LLC
Counselor (Mental Health)
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
B. SHANE HARMON LCSW, LLC
Social Worker (Clinical)
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
CHERYL KELSTROM-SMITH LCSW, LLC
Social Worker (Clinical)
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
TAYLOR CAMERON HERRIN LMFT
Marriage & Family Therapist
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
CASSANDRA LOPIANO LCSW
Social Worker (Clinical)
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
ANGIE BERRY LMFT
Marriage & Family Therapist
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402
MR. B. SHANE HARMON LCSW
Social Worker (Clinical)
5149 S 1500 W
RIVERDALE, UT 84405
Weber County (801) 475-0402

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 Blake Halliday's NPI number?

The NPI number for Blake Halliday is 1710068473. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Blake Halliday located?

Blake Halliday practices at 5149 S 1500 W, Riverdale, UT 84405. The listed phone number is (801) 475-0402.

What is Blake Halliday's specialty?

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

Is Blake Halliday enrolled in Medicare?

No. Blake Halliday has opted out of Medicare through February 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Blake Halliday accept?

Health plans from BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Blake Halliday 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 Blake Halliday was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.