| 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 |
|---|---|---|
| Hendricks County Psychotherapy Psc | 9133149420 | 23 |
| 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 |