MEDICARE: BROOKE NEUBAUM LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	39005869A	IN

General Provider Information

NPI Number	:	1215887500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE NEUBAUM LMHC

Provider Business Mailing Address
First Line	:	941 E 86TH ST STE 112
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1842
Country	:	US
Telephone Number	:	812-994-1208
Fax Number	:

Provider Business Practice Location Address
First Line	:	941 E 86TH ST STE 112
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1842
Country	:	US
Telephone Number	:	812-994-1208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ BROOKE NEUBAUM LMHC” Practice Location

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