Active NPI
Zachary Bowman Cooke, LMFT
- Marriage & Family Therapist
- Goshen, IN
National Provider Identifier
1487249819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35002323A
- Practice address
- 117 S 5TH St
Goshen, IN 46528-3711 - Phone
- (574) 228-5189
- NPI assigned
- Mar 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35002323A | IN | Primary |
Addresses
Primary practice location
117 S 5TH St
Goshen, IN 46528-3711
Mailing address
117 S 5TH St
Goshen, IN 46528-3711
Phone (574) 228-5189
Other names 1
- Zachary Alan Cooke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35002323A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ZBC Therapy LLC | Counselor | Current | Accepting new patients |
Locations
117 S 5th St
Goshen, IN 46528
Phone (574) 231-7010
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1487249819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S 5TH ST",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465283711",
"telephone_number": "574-228-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S 5TH ST",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465283711",
"telephone_number": "574-228-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "ZACHARY",
"middle_name": "BOWMAN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-08",
"last_updated": "2024-10-30",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35002323A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZACHARY",
"last_name": "COOKE",
"middle_name": "ALAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.