Active NPI
Darryl R. Haslam, PH.D., LCSW
- Marriage & Family Therapist
- Springfield, MO
National Provider Identifier
1245394683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1722 S Glenstone Ave
Ste H
Springfield, MO 65804-1519 - Phone
- (417) 881-9518
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2005-025113 | MO | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1722 S Glenstone Ave
Ste H
Springfield, MO 65804-1519
Mailing address
1461 W Highpoint Cir
Springfield, MO 65810-2595
Phone (417) 883-0402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-025113 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emotional Freedom Counseling | Clinical | Past | Accepting new patients |
| Emotional Freedom Counseling | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Provo, UT
- NPI 1770380461
-
- Clinical Social Worker
- Provo, UT
- NPI 1942157987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1245394683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 W HIGHPOINT CIR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102595",
"telephone_number": "417-883-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 S GLENSTONE AVE",
"address_2": "STE H",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041519",
"telephone_number": "417-881-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASLAM",
"first_name": "DARRYL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2005-025113",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.