Individual provider Active NPI

Benjamin Don Hazlett, CCC-SLP

  • Speech-Language Pathologist
  • Sulphur Springs, TX
National Provider Identifier
1619243284
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
124816 Issued in TX
Practice address
1400 Mockingbird LN
Sulphur Springs, TX 75482-4899
Phone
(208) 954-9427
NPI assigned
Mar 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 124816 TX Primary

Addresses

Primary practice location

1400 Mockingbird LN
Sulphur Springs, TX 75482-4899

Mailing address

1400 Mockingbird LN
Sulphur Springs, TX 75482-4899
Phone (208) 954-9427

Other practice location 1

829 Bell St
Sulphur Springs, TX 75482-4221
Phone (903) 885-8466

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP1932IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc Past Accepting new patients
Sports & Ortho Rehab 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1619243284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MOCKINGBIRD LN",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824899",
            "telephone_number": "208-954-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MOCKINGBIRD LN",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754824899",
            "telephone_number": "208-954-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Bell St",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754824221",
            "country_code": "US",
            "telephone_number": "903-885-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZLETT",
        "first_name": "BENJAMIN",
        "middle_name": "DON",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "124816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.