Active NPI
John Zacher, LISAC
- Addiction (Substance Use Disorder) Counselor
- Whiteriver, AZ
National Provider Identifier
1073069654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10818
- Practice address
- 302 West Ponderosa Drive
Whiteriver, AZ 85941-1790 - Phone
- (928) 338-2621
- Fax
- (928) 338-4100
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10818 | AZ | Primary |
Addresses
Primary practice location
302 West Ponderosa Drive
Whiteriver, AZ 85941-1790
Mailing address
PO Box 1790
302 West Ponderosa Drive
Whiteriver, AZ 85941-1790
Phone (928) 338-2621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10818 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1073069654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1790",
"address_2": "302 WEST PONDEROSA DRIVE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859411790",
"telephone_number": "928-338-2621",
"fax_number": "928-338-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 WEST PONDEROSA DRIVE",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859411790",
"telephone_number": "928-338-2621",
"fax_number": "928-338-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHER",
"first_name": "JOHN",
"credential": "LISAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "10818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.