ZACHARY RAY AUTRY (NPI# 1194267997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194267997 |
| Entity Type | Individual |
| Full Name | ZACHARY RAY AUTRY |
| Credential | MA, NCC, ACMHC |
| Practice Address |
411 N Grant St Salt Lake City UT 84116-2725 |
| Mailing Address |
10679 S 2200 W Apt 2 South Jordan UT 84095-8340 |
| Practice Telephone | 8013598862 |
| Mailing Telephone | 8018422413 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
11692670-6009 | UT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3415 Se Powell Blvd, Portland, OR 972023371 | 5032349591 |
| Street Address |
411 N GRANT ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174662282 | Sam Leslie Farris | Counselor | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2007-02-05 |
| 1972144731 | Daisy Elizabeth Mae Lael | Counselor | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2019-10-03 |
| 1871059139 | Joel Arvizo | Case Manager/Care Coordinator | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2019-02-12 |
| 1477023497 | Thomas Childs | Psychologist | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-12-03 |
| 1356827315 | Jeanine Kunshek | Case Manager/Care Coordinator | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-07-12 |
| 1598250060 | Alex Ryan Stephens | Case Manager/Care Coordinator | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-06-27 |
| 1053810648 | Kathryn Anne Tozzi | Social Worker | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2018-02-08 |
| 1669983417 | Thomas Evan Mullaly | Peer Specialist | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2017-10-19 |
| 1750811899 | Shawn Mcmillen | Counselor | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2017-06-12 |
| 1760926562 | Janie Hansen | Social Worker | 411 N Grant St, Salt Lake City, UT 84116-2725 | 2016-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1427035187 | Sarah Lynn Woolsey | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116 | 2005-12-23 |
| Find all providers in zip 84116 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750262 | Nathan Haslam | Counselor | 636 E Roosevelt Ave, Salt Lake City, UT 84105-2121 | 2020-11-06 |
| 1962003541 | Allison Lee | Counselor | 565 S Post St, Salt Lake City, UT 84104-1346 | 2020-11-02 |
| 1699374439 | Heidemarie Lex | Counselor | 3125 E Kennedy Dr Apt 605, Salt Lake City, UT 84108-2156 | 2020-10-22 |
| 1477166759 | Utah Infertility Resource Center | Counselor | 1565 E 3300 S, Salt Lake City, UT 84106-3370 | 2020-08-26 |
| 1689292658 | Truu Management | Counselor | 1554 S State St, Salt Lake City, UT 84115-1632 | 2020-07-07 |
| 1275169823 | Ashley White | Counselor | 1190 S 300 E, Salt Lake City, UT 84111-4636 | 2020-03-16 |
| 1184257107 | Richard Gregg Buxton | Counselor | 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 | 2020-02-18 |
| 1609416254 | Rmc Counseling | Counselor | 155 E 900 S Ste 111213, Salt Lake City, UT 84111-4229 | 2020-01-12 |
| 1114563681 | Caroline Graham | Counselor | 131 E 700 S, Salt Lake City, UT 84111-3805 | 2019-11-20 |
| 1629622303 | Healing Feathers LLC | Counselor | 1174 E Graystone Way Ste 10, Salt Lake City, UT 84106-2671 | 2019-07-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84116 |
Please comment or provide details below to improve the information on ZACHARY RAY AUTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.