Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Zachary Fannin

Individual provider Case Manager/Care Coordinator · NPI 1568073146

Zachary Fannin is a Mental Health Counselor in Newport, Kentucky. Qualified in 2022, 4 years ago. Practices with Northern Kentucky Mental Health Mental Retardation Regional Board, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2020
Specialties on file
2

Practice location Address checks out

12 E 5th St
Newport, KY 41071-1618
Phone: (859) 578-3200
Fax: (859) 534-2627
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5400 Edalbert Dr, Cincinnati, OH 45239-7604 — (513) 741-3100

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 300170 (KY)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1568073146
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2020
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northern Kentucky Mental Health Mental Retardation Regional Board — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newport