BROOKE RANDOLPH
NPI 1508818295
Counselor - Mental Health in Indianapolis, IN

Q: What is Brooke Randolph's NPI number?

The NPI number for Brooke Randolph is 1508818295. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Brooke Randolph's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Brooke Randolph enrolled in Medicare?

No. Brooke Randolph has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Brooke Randolph was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 17, 2006Opted out of Medicare · through Jan 9, 2028

447 E 38TH ST, INDIANAPOLIS, IN 46205(317) 455-5642 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brooke Randolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE RANDOLPH (NPI 1508818295) is an individual mental health provider in Indianapolis, Indiana and active in the NPI registry since May 2006. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1508818295

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBROOKE RANDOLPH

Location Address447 E 38TH STIndianapolis, IN 46205-2622

Mailing Address447 E 38th StIndianapolis, IN 46205-2622 · (317) 455-5642

Phone(317) 455-5642

Sole ProprietorYes

Enumeration DateMay 17, 2006

Last NPPES UpdateOctober 10, 2025

NPPES CertifiedOctober 10, 2025

✔ NPI 1508818295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

447 E 38TH ST, Indianapolis, IN 46205

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Brooke Randolph has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024

Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNSELING AT THE GREEN HOUSE

Counselor