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ZACHARY BROCK
NPI 1962015404
Counselor in Fort Wayne, IN

Active since August 25, 2020PECOS EnrolledAccepts Medicare Assignment
333 E LEWIS ST, FORT WAYNE, IN 46802(260) 426-3347 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Zachary Brock NPPES

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

ZACHARY BROCK (NPI 1962015404) is an individual counselor in Fort Wayne, Indiana, licensed in Indiana (39005477A) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962015404
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameZACHARY BROCK
Location Address333 E LEWIS STFort Wayne, IN 46802-3139
Mailing Address333 E Lewis StFort Wayne, IN 46802-3139 · (260) 426-3347
Phone(260) 426-3347
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 25, 2020
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1962015404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IN · 39005477A
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
333 E LEWIS ST, Fort Wayne, IN 46802
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Brock is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537678008
PECOS Enrollment IDI20250605000186
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Zachary Brock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lutheran Social Services Of Indiana Inc.
Same address
Counselor
333 E LEWIS ST
Fort Wayne, IN 46802
  • Reassigned Medicare billing, Indiana enrollment
  • 8 clinicians in this Medicare group
NPI 1861636136 (260) 426-3347
Eventus Ecs, Inc
105 mi
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana enrollment
  • 210 clinicians in this Medicare group
NPI 1073353496 (855) 743-2247
Extended Care Specialists, Inc
117 mi
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 233 clinicians in this Medicare group
NPI 1134146079 (855) 743-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WANDA FAYE DEMEKE LMHC
Counselor (Mental Health)
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
GRISELDA ABREU LCSW
Social Worker (Clinical)
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
MOLLY MCCRORY
Counselor (Mental Health)
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
JANET MITCHELL LSW
Social Worker
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
TONI LOVELL MSW, LCSW, LCAC
Social Worker (Clinical)
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
KATHY MASSONNE LCSW
Social Worker (Clinical)
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
LUTHERAN SOCIAL SERVICES OF INDIANA INC.
Counselor
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347
LAURA MITCHELL HOFFMAN LCSW
Social Worker (Clinical)
333 E LEWIS ST
FORT WAYNE, IN 46802
Allen County (260) 426-3347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Brock's NPI number?

The NPI number for Zachary Brock is 1962015404. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Where is Zachary Brock located?

Zachary Brock practices at 333 E Lewis St, Fort Wayne, IN 46802. The listed phone number is (260) 426-3347.

What is Zachary Brock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Zachary Brock enrolled in Medicare?

Yes. Zachary Brock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Zachary Brock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Brock reassigns Medicare benefits to 3 organizations: Lutheran Social Services Of Indiana Inc. (Fort Wayne, IN), Eventus Ecs, Inc (Indianapolis, IN) and Extended Care Specialists, Inc (Merrillville, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Brock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Brock accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and UnitedHealthcare list Zachary Brock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zachary Brock was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.