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NPI Code Detail

MEDICARE: MICHAEL OBERLE LMHC

MEDICARE: MICHAEL OBERLE 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
1101YP2500XProfessional Counselor39005764A

General Provider Information

NPI Number : 1336098532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL OBERLE LMHC
Provider Business Mailing Address
First Line : 618 E 11TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2728
Country : US
Telephone Number : 951-239-5602
Fax Number :
Provider Business Practice Location Address
First Line : 429 E VERMONT ST STE 7
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-3688
Country : US
Telephone Number : 951-239-5602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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