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

Zachary Brock

Individual provider Counselor · NPI 1962015404

Zachary Brock is a Mental Health Counselor in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Lutheran Social Services of Indiana Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

333 E Lewis St
Fort Wayne, IN 46802-3139
Phone: (260) 426-3347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 39005477A (IN)

Record details

NPI number1962015404
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address333 E Lewis St, Fort Wayne, IN 46802-3139

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)
Group practice Lutheran Social Services Of Indiana Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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