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

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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