Individual provider Active NPI

Carl Dixon Quedenfeld, LMHC,LCSW

  • Mental Health Counselor
  • Indpls, IN
National Provider Identifier
1265476949
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
737-125 Issued in WI
Practice address
7930 Valley Trace Lane
Indpls, IN 46237
Phone
(317) 294-6216
NPI assigned
Jun 15, 2006
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15381-132 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000220A IN
Mental Health Counselor 101YM0800X 737-125 WI Primary
Mental Health Counselor 101YM0800X 13185 CA
Mental Health Counselor 101YM0800X 3900008490 IN
Mental Health Counselor 101YM0800X 21366 AZ
Professional Counselor 101YP2500X 13185 CA
Professional Counselor 101YP2500X 21366 AZ
Clinical Social Worker 1041C0700X 34002578A IN

Addresses

Primary practice location

7930 Valley Trace Lane
Indpls, IN 46237

Mailing address

7930 Valley Trace LN
Indianapolis, IN 46237-8568
Phone (317) 294-6216

Other practice location 1

6291 Cambridge Way Ste 200
Plainfield, IN 46168-7944
Phone (317) 718-8436

Other identifiers 1

IdentifierTypeStateIssuer
100323760AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090515000323 IN Practitioner - Clinical Social Worker 7214086511 Reassigns benefits to 2 organizations
Practice locations: Indianapolis, IN
I20231204000658 IN Practitioner - Mental Health Counselor 7214086511 Practice locations: Indianapolis, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendricks County Psychotherapy PSCGroup PAC ID 9133149420, 27 clinicians

Practice addresses (Care Compare)

6291 Cambridge Way
Suite 200
Plainfield, IN 46168-7905
Phone (317) 718-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87000220AINMDAddiction (Substance Use Disorder) Counselor
15381-132WIMDAddiction (Substance Use Disorder) Counselor
3900008490INMDMental Health Counselor
737-125WIMDMental Health Counselor
21366AZMDProfessional Counselor
13185CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carl Quedenfeld Ma LMHC Addiction (Substance Use Disorder) CurrentSince Jun 1, 2022 Accepting new patients
Family Psychiatric Center LLC Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Hendricks County Psychotherapy PSC Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Carl Quedenfeld Counseling Addiction (Substance Use Disorder) CurrentSince Jun 1, 2022 Accepting new patients
Mending Minds, LLC Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients

Locations

202 Myers Rd
Danville, IN 46122
Phone (317) 718-8436

1311 W 96th St
Ste 110
Indianapolis, IN 46260
Phone (317) 296-7707

3900 Southland Ave
Kokomo, IN 46902
Phone (317) 876-3699

702 W Alto Rd
Kokomo, IN 46902
Phone (765) 453-7422

6291 Cambridge Way
Ste 200
Plainfield, IN 46168
Phone (317) 718-8436

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24167/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1265476949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 VALLEY TRACE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378568",
            "telephone_number": "317-294-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 VALLEY TRACE LANE",
            "city": "INDPLS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-294-6216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6291 Cambridge Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IN",
            "postal_code": "461687944",
            "country_code": "US",
            "telephone_number": "317-718-8436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEDENFELD",
        "first_name": "CARL",
        "middle_name": "DIXON",
        "credential": "LMHC,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15381-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000220A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "737-125",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "13185",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "3900008490",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "21366",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "13185",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "21366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002578A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100323760A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indpls, IN

Sources for this page

Verify at the official NPI Registry.