Provider Demographics
NPI:1629167168
Name:LUBBE, CRAIG J (LMHC, LCAC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:J
Last Name:LUBBE
Suffix:
Gender:M
Credentials:LMHC, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E OHIO ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2193
Mailing Address - Country:US
Mailing Address - Phone:317-275-8800
Mailing Address - Fax:
Practice Address - Street 1:1860 NORTHWOOD PLZ
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-1037
Practice Address - Country:US
Practice Address - Phone:317-346-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87000008A101YA0400X
101YM0800X
IN39000286A1041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical