Jared Bennett, CCC/SLP
NPI 1104058163ActiveIndividual· Speech-Language Pathologist· South Jordan, UT
Speech-Language Pathologist (CCC/SLP) in South Jordan, Utah, licensed in UT, with an NPI issued in August 2009. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1104058163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC/SLP |
| Sole proprietor | Yes |
| NPI issued | Aug 10, 2009 |
| Last updated in NPPES | Aug 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 5223035-4102 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (UT) |
|---|
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