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

Zackery Chad Larsen, CPSS

Individual provider Peer Specialist · NPI 1124909452

Zackery Chad Larsen, CPSS is a Peer Specialist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

1336 S 1100 E
Salt Lake City, UT 84105-2421
Phone: (385) 246-2522
Fax: (801) 810-1343
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (UT)

Record details

NPI number1124909452
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSS
Sole proprietorYes
NPI enumeratedSeptember 11, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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