Active NPI
Zachary Autry, MA, CMHC
- Mental Health Counselor
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11692670-6004
- Practice address
- 350 E 2100 S
Salt Lake City, UT 84115-2266 - Phone
- (801) 251-6454
- NPI assigned
- Nov 9, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11692670-6009 | UT | |
| Professional Counselor | 101YP2500X | 11692670-6009 | UT | |
| Mental Health Counselor | 101YM0800X | 11692670-6004 | UT | Primary |
Addresses
Primary practice location
350 E 2100 S
Salt Lake City, UT 84115-2266
Mailing address
350 E 2100 S
Salt Lake City, UT 84115-2266
Phone (801) 251-6454
Other practice location 1
3148 S 1100 W
Salt Lake City, UT 84119-3304
Phone (385) 468-8400 ext. 88833
Other practice location 2
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
Other practice location 3
411 N Grant St
Salt Lake City, UT 84116-2725
Phone (801) 359-8862
Other practice location 4
489 West South Jordan Parkway
Suite 400
South Jordan, UT 84095
Phone (801) 438-3185
Other practice location 5
1283 Deer Valley Dr
Park City, UT 84060-5182
Phone (971) 220-5636
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11692670-6004 | UT | MD | Mental Health Counselor |
| 11692670-6009 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Phoenix Recovery Center LLC | Counselor | Current | Accepting new patients |
| The Phoenix Recovery Center LLC | Past | Accepting new patients |
Locations
489 W South Jordan Pkwy
Ste 400
South Jordan, UT 84095
Phone (801) 438-3185
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- South Jordan, UT
- NPI 1992125553
Counselor
-
- Substance Abuse Rehabilitation Facility
- Ste 500, UT
- NPI 1770828873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1194267997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841152266",
"telephone_number": "801-251-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841152266",
"telephone_number": "801-251-6454"
}
],
"practiceLocations": [
{
"address_1": "3148 S 1100 W",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841193304",
"country_code": "US",
"telephone_number": "385-468-8400 x88833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3415 SE Powell Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972023371",
"country_code": "US",
"telephone_number": "503-234-9591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 N Grant St",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841162725",
"country_code": "US",
"telephone_number": "801-359-8862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "489 West South Jordan Parkway",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "South Jordan",
"state": "UT",
"postal_code": "84095",
"country_code": "US",
"telephone_number": "801-438-3185",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1283 Deer Valley Dr",
"address_purpose": "LOCATION",
"city": "Park City",
"state": "UT",
"postal_code": "840605182",
"country_code": "US",
"telephone_number": "971-220-5636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUTRY",
"first_name": "ZACHARY",
"credential": "MA, CMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-09",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11692670-6009",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "11692670-6009",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "11692670-6004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- Autism Assement Treatment Program Adult
- Autism Assessment and Treatment Center, Inc.
- Autism Assessment Treatment Program Child
- Autism Journeys Treatment Center
- Emily Auton
- Mia Auzina
- Normund Karl Auzins, D.D.S.
- Avalon Ancillary Services,L.L.C.
- Avalon Care Center - Canyon Rim, LLC
- Avalon Care Center-Willow Wood, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.