Individual provider Active NPI

Lorrie Neuberg, LMFT

  • Marriage & Family Therapist
  • Crawfordsville, IN
National Provider Identifier
1407162811
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001780A Issued in IN
Practice address
701 N Englewood Dr
Crawfordsville, IN 47933-9744
Phone
(765) 361-9767
Fax
(765) 361-0374
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1086 KS
Marriage & Family Therapist 106H00000X 85000093A IN
Marriage & Family Therapist 106H00000X 35001780A IN Primary

Addresses

Primary practice location

701 N Englewood Dr
Crawfordsville, IN 47933-9744

Mailing address

701 N Englewood Dr
Crawfordsville, IN 47933-9744
Phone (765) 361-9767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1086KSMDAddiction (Substance Use Disorder) Counselor
35001780AINMDMarriage & Family Therapist
85000093AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cummins Behavioral Health Systems, Incorporated PastSince Jun 2, 2014 Accepting new patients

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1407162811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N ENGLEWOOD DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479339744",
            "telephone_number": "765-361-9767",
            "fax_number": "765-361-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N ENGLEWOOD DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479339744",
            "telephone_number": "765-361-9767",
            "fax_number": "765-361-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBERG",
        "first_name": "LORRIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "1086",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "85000093A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001780A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.