Troy Benallie
Individual provider Active NPI Marriage & Family Therapist · Providence, UT
NPI 1700550852 · NPPES record last updated Jan 20, 2026
Key facts
- NPI
- 1700550852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 123045813902 (UT)
- Practice address
- 517 W 100 N Ste 110
Providence, UT 84332-9826 - Phone
- (435) 755-6061
- NPI assigned
- Aug 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123045813902 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 123045813902 | UT | Yes |
Addresses
Primary practice location
517 W 100 N Ste 110
Providence, UT 84332-9826
Mailing address
498 N Kays Dr Ste 210
Kaysville, UT 84037-4153
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.bearlakecommunityhealthcenter.org/ | Direct | |
| CONNECT URL | https://goldwellness.com/ |
Other providers in Providence, UT
- Ethan Bates
- Roxene Bates
- Brevan B Baugh
- Bear Lake Community Health Center, Inc.
- Rebekah Jane Bednar
- Lars Bergeson
- Lyndsey Bergsjo
- Jaylee Berry
- Clara Blake
- Michael Bodrero
All providers in Providence, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.