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

Zachery Nathan Shinkle

Individual provider Mental Health Counselor · NPI 1649088550

Zachery Nathan Shinkle is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2024

Practice location Address checks out

117 W 400 S
Salt Lake City, UT 84101-1916
Phone: (801) 428-4257
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11650733-6009 (UT)

Record details

NPI number1649088550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 23, 2024
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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