Individual provider Active NPI

Zachary Autry, MA, CMHC

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1194267997
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11692670-6004 Issued in UT
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

Updated by the provider on Apr 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11692670-6004UTMDMental Health Counselor
11692670-6009UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Phoenix Recovery Center LLC Counselor CurrentSince May 1, 2021 Accepting new patients
The Phoenix Recovery Center LLC PastSince May 1, 2021 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.

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

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.

Verify at the official NPI Registry.