Carl Dixon Quedenfeld, LMHC,LCSW | |
7930 Valley Trace Lane, Indpls, IN 46237 | |
(317) 294-6216 | |
Not Available |
Full Name | Carl Dixon Quedenfeld |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 46 Years |
Location | 7930 Valley Trace Lane, Indpls, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265476949 | NPI | - | NPPES |
100323760A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 34002578A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mending Minds, Llc | 4284037987 | 6 |
Hendricks County Psychotherapy Psc | 9133149420 | 24 |
Entity Name | Hendricks County Psychotherapy Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295877900 PECOS PAC ID: 9133149420 Enrollment ID: O20051201000418 |
Entity Name | Mending Minds, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780258798 PECOS PAC ID: 4284037987 Enrollment ID: O20210719001995 |
Mailing Address | Practice Location Address |
---|---|
Carl Dixon Quedenfeld, LMHC,LCSW 8320 Madison Ave, Indpls, IN 46227 Ph: (317) 882-5122 | Carl Dixon Quedenfeld, LMHC,LCSW 7930 Valley Trace Lane, Indpls, IN 46237 Ph: (317) 294-6216 |
Jason William Todd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 E 16th Street, Indpls, IN 46218 Phone: 317-355-5394 | |
David Wayne Christenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6950 Hillsdale Court, Indpls, IN 46250 Phone: 317-621-5176 | |
Theresa Bowes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8320 Madison Ave, Indpls, IN 46227 Phone: 317-882-5122 Fax: 317-888-8642 | |
Kim Ann Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 N Ritter Ave, Indpls, IN 46219 Phone: 317-355-5469 | |
Jared Jay Wakeland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 E 16th Street, Indpls, IN 46218 Phone: 317-355-5394 | |
Juliane Cunningham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1356 Graham Ave, Indpls, IN 46219 Phone: 317-355-3590 |