ZACHARY BOWMAN COOKE LMFT
NPI 1487249819
Marriage & Family Therapist in Goshen, IN

Active since March 08, 2021Opted out of Medicare · through Oct 9, 2026
117 S 5TH ST, GOSHEN, IN 46528(574) 228-5189 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2024, Mar 8, 2021 (2 updates tracked since 2021).

About Zachary Bowman Cooke Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY BOWMAN COOKE LMFT (NPI 1487249819) is an individual marriage & family therapist in Goshen, Indiana, licensed in Indiana (35002323A) and active in the NPI registry since March 2021. He has opted out of Medicare through October 9, 2026.

NPPES Registry Identity

NPI1487249819
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameZACHARY BOWMAN COOKECredential: LMFT
Location Address117 S 5TH STGoshen, IN 46528-3711
Mailing Address117 S 5th StGoshen, IN 46528-3711 · (574) 228-5189
Sole ProprietorNo
Enumeration DateMarch 8, 2021
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1487249819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in IN · 35002323A
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

117 S 5TH ST, Goshen, IN 46528

Other Names 1

Former Name (1)Zachary Alan Cooke

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Zachary Bowman Cooke Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2024 through October 9, 2026.

Opt-Out Effective DateOctober 9, 2024
Opt-Out In Effect ThroughOctober 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Social Worker (Clinical)
117 S 5TH ST
GOSHEN, IN 46528
Social Worker (Clinical)
117 S 5TH ST
GOSHEN, IN 46528
Social Worker (Clinical)
117 S 5TH ST
GOSHEN, IN 46528
Counselor
117 S 5TH ST
GOSHEN, IN 46528
Marriage & Family Therapist
117 S 5TH ST
GOSHEN, IN 46528
Social Worker (Clinical)
117 S 5TH ST
GOSHEN, IN 46528
Counselor (Mental Health)
117 S 5TH ST
GOSHEN, IN 46528

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487249819, enumerated as an "individual" on March 08, 2021.

The provider is located at 117 S 5TH ST GOSHEN, IN 46528 and the phone number is (574) 228-5189.

Marriage & Family Therapist with taxonomy code 106H00000X.