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MR. ZAKERY R WARREN LCPC4472
NPI 1053597344
Counselor - Mental Health in Ammon, ID

Active since January 16, 2008PECOS EnrolledAccepts Medicare Assignment
2705 E 17TH ST STE A, AMMON, ID 83406(208) 346-7500(208) 346-7501 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Zakery R Warren Lcpc4472 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ZAKERY R WARREN LCPC4472 (NPI 1053597344) is an individual mental health provider in Ammon, Idaho, licensed in Idaho (4472) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053597344
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ZAKERY R WARRENCredential: LCPC4472
Location Address2705 E 17TH ST STE AAmmon, ID 83406-6601
Mailing Address2705 E 17th StAmmon, ID 83406-6601 · (208) 346-7500 · Fax (208) 346-7501
Phone(208) 346-7500
Fax(208) 346-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 16, 2008
Last NPPES UpdateFebruary 15, 2019
✔ NPI 1053597344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · 4472
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LPC3960 (ID)
2705 E 17TH ST STE A, Ammon, ID 83406
Open in Google Maps ↗

Other Identifiers 1

Medicaid002648300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Zakery R Warren Lcpc4472 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466725536
PECOS Enrollment IDI20240209000829
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Zakery Warren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearl Health Clinic
Same address
Mental Health
2705 E 17TH ST
Ammon, ID 83406
  • Reassigned Medicare billing, Idaho enrollment
  • 45 clinicians in this Medicare group
NPI 1447426465 (208) 346-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zakery Warren's NPI number?

The NPI number for Zakery Warren is 1053597344. It was assigned to this individual provider in the NPPES registry on January 16, 2008.

Where is Zakery Warren located?

Zakery Warren practices at 2705 E 17th St Ste A, Ammon, ID 83406. The listed phone number is (208) 346-7500.

What is Zakery Warren's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Zakery Warren enrolled in Medicare?

Yes. Zakery Warren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Zakery Warren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zakery Warren reassigns Medicare benefits to Pearl Health Clinic (Ammon, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zakery Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zakery Warren accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Zakery Warren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zakery Warren was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.