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ZACHARY KINNEY RECOVERY COACH
NPI 1619694312
Peer Specialist in Pocatello, ID

Active since October 24, 2022
5230 W MOONLIGHT MINE RD, POCATELLO, ID 83201(208) 478-0219(208) 944-9655 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachary Kinney Recovery Coach NPPES

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

ZACHARY KINNEY RECOVERY COACH (NPI 1619694312) is an individual peer specialist in Pocatello, Idaho, licensed in Idaho (13056) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1619694312
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameZACHARY KINNEYCredential: RECOVERY COACH
Location Address5230 W MOONLIGHT MINE RDPocatello, ID 83201-9013
Mailing Address32 Ravine DrPocatello, ID 83204-4031 · (608) 633-2712
Phone(208) 478-0219
Fax(208) 944-9655
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1619694312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in ID · 13056
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.
5230 W MOONLIGHT MINE RD, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 2

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

EMILY K FLINT LPC
Counselor (Mental Health)
5230 W MOONLIGHT MINE RD
POCATELLO, ID 83201
Bannock County (208) 505-9990
MOONLIGHT MOUNTAIN RECOVERY, INC
Substance Abuse Rehabilitation Facility
5230 W MOONLIGHT MINE RD
POCATELLO, ID 83201
Bannock County (208) 505-9990

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 Kinney's NPI number?

The NPI number for Zachary Kinney is 1619694312. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Zachary Kinney located?

Zachary Kinney practices at 5230 W Moonlight Mine Rd, Pocatello, ID 83201. The listed phone number is (208) 478-0219.

What is Zachary Kinney'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 Zachary Kinney was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.