Organization Active NPI

Optum Behavioral Care of Colorado, P.C.

Doing business as LifeSolutions Counseling Associates of Indiana

  • Clinical Psychologist
  • Carmel, IN
National Provider Identifier
1497525828
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Doing business as
LifeSolutions Counseling Associates of Indiana
Practice address
1185 W Carmel Dr Ste D4
Carmel, IN 46032-8708
Phone
(317) 569-5433
NPI assigned
Jan 5, 2024
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Amanda Stacey BronsonNPI 1043591167
Title
Dir Gen MGMT
Phone
(978) 222-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

1185 W Carmel Dr Ste D4
Carmel, IN 46032-8708

Mailing address

11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone (317) 569-5433

Other practice location 1

14540 Prairie Lakes Blvd N Ste 202
Noblesville, IN 46060-4370
Phone (317) 569-5433

Other practice location 2

701 N Niles Ave Ste 101
South Bend, IN 46617-1923
Phone (574) 406-1520

Other names 1

  • LifeSolutions Counseling Associates of Indiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240408000776 IN Part B Supplier - Clinic/Group Practice 0941648463 Receives reassigned benefits from 26 practitioners
3 other NPIs on this enrollment
Practice locations: Carmel, IN; South Bend, IN; Noblesville, IN; Muncie, IN

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Optum Behavioral Care PC33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

1499 Windhorst Way
Greenwood, IN 46143
Phone (888) 309-8239

1499 Windhorst Way
Ste 220
Greenwood, IN 46143
Phone (317) 569-5433

424 Perry St
La Porte, IN 46350
Phone (219) 809-0333

4221 N Broadway Ave
Muncie, IN 47303
Phone (765) 282-7150

701 N Niles Ave
Ste 101
South Bend, IN 46617
Phone (574) 406-1520

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1497525828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 OPTUM CIR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442503",
            "telephone_number": "317-569-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 W CARMEL DR STE D4",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328708",
            "telephone_number": "317-569-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 Prairie Lakes Blvd N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460604370",
            "country_code": "US",
            "telephone_number": "317-569-5433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Niles Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466171923",
            "country_code": "US",
            "telephone_number": "574-406-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPTUM BEHAVIORAL CARE OF COLORADO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "STACEY",
        "authorized_official_title_or_position": "DIR GEN MGMT",
        "authorized_official_telephone_number": "978-222-3121"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSolutions Counseling Associates of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.