Brent Anthony Luebcke, PH.D., HSPP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

20043699A Issued in IN

Practice address

320 N Meridian St Ste 819
Indianapolis, IN 46204-1719

Phone

(765) 418-0974

NPI assigned

Mar 29, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Associates in Counseling and Psychotherapy

  • Clinical Psychologist
  • New Albany, IN
  • NPI 1801948062
  NPD (past)
• Associates in Counseling and Psychtherapy

  • Community/Behavioral Health Agency
  • New Albany, IN
  • NPI 1114330271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1629500723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MERIDIAN ST STE 819",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041719",
            "telephone_number": "317-418-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MERIDIAN ST STE 819",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041719",
            "telephone_number": "765-418-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEBCKE",
        "first_name": "BRENT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20043699A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Lucy, LCSW
• Lisa Marie Lucy, LMFT
• Jacqueline Mary Ludes Braeger, PHD
• Amrita Ludlow, NP
• Jillian Ludwig, DNP, FNP-C
• Caitlin Elizabeth Luebcke, AGACNP-BC, ACNP-C
• Amanda Luellen
• Alyza B Luenebrink, RBT
• Emily Elizabeth Luerssen, M.D.
• Mark A Luetkemeyer, MD

• Counseling Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Counseling Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.