ZACHARY FANNIN
NPI 1568073146
Counselor - Mental Health in Newport, KY

Active since August 16, 2020PECOS EnrolledAccepts Medicare Assignment
12 E 5TH ST, NEWPORT, KY 41071(859) 578-3200(859) 534-2627 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Fannin NPPES

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

ZACHARY FANNIN (NPI 1568073146) is an individual mental health provider in Newport, Kentucky, licensed in Kentucky (300170) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1568073146
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameZACHARY FANNIN
Location Address12 E 5TH STNewport, KY 41071-1618
Mailing Address5400 Edalbert DrCincinnati, OH 45239-7604
Fax(859) 534-2627
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2020
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1568073146 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 KY · 300170
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
12 E 5TH ST, Newport, KY 41071

Secondary Practice Location 1

Location 15400 Edalbert DrCincinnati, OH 45239-7604 · Phone (513) 741-3100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Zachary Fannin 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 ID1951804764
PECOS Enrollment IDI20250909003743
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.

Other Providers at the Same Location NPPES 17

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

Marriage & Family Therapist
12 E 5TH ST
NEWPORT, KY 41071
Registered Nurse (Psychiatric/Mental Health, Adult)
12 E 5TH ST
NEWPORT, KY 41071
Marriage & Family Therapist
12 E 5TH ST
NEWPORT, KY 41071
Psychologist (Clinical)
12 E 5TH ST
NEWPORT, KY 41071
Counselor (Mental Health)
12 E 5TH ST
NEWPORT, KY 41071
Social Worker (Clinical)
12 E 5TH ST
NEWPORT, KY 41071
Counselor (Professional)
12 E 5TH ST
NEWPORT, KY 41071
Counselor (Professional)
12 E 5TH ST
NEWPORT, KY 41071

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 Zachary Fannin's NPI number?

The NPI number for Zachary Fannin is 1568073146. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Where is Zachary Fannin located?

Zachary Fannin practices at 12 E 5th St, Newport, KY 41071. The listed phone number is (859) 578-3200.

What is Zachary Fannin's specialty?

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

Is Zachary Fannin enrolled in Medicare?

Yes. Zachary Fannin 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.

When was this NPI record last updated?

The NPPES record for Zachary Fannin was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.