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ZACKERY CHAD LARSEN CPSS
NPI 1124909452
Peer Specialist in Salt Lake City, UT

Active since September 11, 2025
1336 S 1100 E, SALT LAKE CITY, UT 84105(385) 246-2522(801) 810-1343 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zackery Chad Larsen Cpss NPPES

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

ZACKERY CHAD LARSEN CPSS (NPI 1124909452) is an individual peer specialist in Salt Lake City, Utah and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1124909452
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameZACKERY CHAD LARSENCredential: CPSS
Location Address1336 S 1100 ESalt Lake City, UT 84105-2421
Mailing Address1336 S 1100 ESalt Lake City, UT 84105-2421 · (385) 246-2522 · Fax (801) 810-1343
Phone(385) 246-2522
Fax(801) 810-1343
Sole ProprietorYes
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1124909452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1336 S 1100 E, Salt Lake City, UT 84105
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER R. SWEENEY MD
Psychiatry & Neurology (Psychiatry)
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (385) 246-2522
SIDELINE SPORT PSYCHOLOGY PLLC
Clinic/Center (Adult Mental Health)
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (385) 899-2251
BRITTANY ANN NORTHRUP LCSW
Social Worker (Clinical)
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (801) 215-9661
AUBREY MEYER LCSW
Social Worker (Clinical)
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (801) 450-7063
MOONLIT
Psychiatry & Neurology (Psychiatry)
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (385) 246-2522
INTUITIVE ATHLETE
Dietitian, Registered
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (801) 871-9252
CHEZLIE T JEDRZIEWSKI
Counselor (Mental Health)
1336 S 1100 E
SALT LAKE CITY, UT 84105
Salt Lake County (801) 251-6775

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 Zackery Larsen's NPI number?

The NPI number for Zackery Larsen is 1124909452. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Zackery Larsen located?

Zackery Larsen practices at 1336 S 1100 E, Salt Lake City, UT 84105. The listed phone number is (385) 246-2522.

What is Zackery Larsen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Zackery Larsen was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.