Zachary Thomas Duvall, MSW, CSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8544589-3502 Issued in UT

Practice address

3740 W Market Center Dr
1200
Riverton, UT 84065-8026

Phone

(801) 240-9436

Fax

(801) 240-9452

NPI assigned

Sep 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1295137594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 W MARKET CENTER DR",
            "address_2": "1200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436",
            "fax_number": "801-240-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W MARKET CENTER DR",
            "address_2": "1200",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840658026",
            "telephone_number": "801-240-9436",
            "fax_number": "801-240-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8544589-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelise Draper
• James W Drury, PT
• J Timothy Duffy, MD
• Robert Gene Duncombe, SSW, M.S.
• Michael Durbano
• Katelyn Taylor Earnest, CCC-SLP
• Eco Pharmacy of Salt Lake City 1 LLC (Eco Pharmacy of Salt Lake City)
• Janet Benavidez Eddy, M.D.
• Sean Frederick Edmunds, MD
• Robert Philip Edwards, MD

• Mental Health Counselor in Riverton, UT
• Providers in Riverton, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.