Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Zakery R Warren, LCPC4472

Individual provider Mental Health Counselor · NPI 1053597344

Mr. Zakery R Warren, LCPC4472 is a Mental Health Counselor in Ammon, Idaho. Qualified in 2007, 19 years ago. Practices with Pearl Health Clinic, a 38-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2705 E 17th St Ste A
Ammon, ID 83406-6601
Phone: (208) 346-7500
Fax: (208) 346-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4472 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence LPC3960 (ID)

Record details

NPI number1053597344
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC4472
Sole proprietorNo
NPI enumeratedJanuary 16, 2008
Last updated in NPPESFebruary 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Pearl Health Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 38 clinicians in the practice; 12 are shown here.

Other providers in Ammon