P Praxis·MD
● Active Type 1 · Individual

MR. Zakery R Warren, LCPC4472

Counselor·Ammon, ID· NPI 1053597344 · Enumerated 2008 · 18 years on NPI
Warren is 1 of 25 counselor providers in Ammon and 1 of 1998 in Idaho.
NPI age
18 years
Enumerated 2008-01-16
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1998 active counselor providers in Idaho.

NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Practice location
2705 E 17th St Ste A
Ammon, ID 834066601
📞 2083467500fax 2083467501
Mailing address
2705 E 17th St
Ammon, ID 834066601
📞 2083467500fax 2083467501

Specialties

  • Counselor Primary
    Definition to come...
    ID license #4472 taxonomy 101YM0800X
  • Social Worker
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    ID license #LPC3960 taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (ID) 002648300

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Ammon in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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