Organization Active NPI

Carl Quedenfeld Counseling

Doing business as Carl Quedenfeld Ma LMHC

  • Mental Health Counselor
  • Indianapolis, IN
National Provider Identifier
1548032709
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CARL QUEDENFELD COUNSELING
Doing business as
Carl Quedenfeld Ma LMHC
Practice address
7930 Valley Trace LN
Indianapolis, IN 46237-8568
Phone
(317) 294-6216
NPI assigned
Oct 23, 2023
Organization subpart
Yes
Parent organization
CARL QUEDENFELD COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Carl Quedenfeld, MA LMHCNPI 1265476949
Title
Owner
Phone
(317) 294-6216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7930 Valley Trace LN
Indianapolis, IN 46237-8568

Mailing address

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

Other names 1

  • CARL QUEDENFELD MA LMHC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carl Quedenfeld Counseling2 organizations share this tax ID, including this one
Part of
Carl Quedenfeld Counseling

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1548032709",
    "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 LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378568",
            "telephone_number": "317-294-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL QUEDENFELD COUNSELING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARL QUEDENFELD COUNSELING",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "QUEDENFELD",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-294-6216",
        "authorized_official_credential": "MA LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARL QUEDENFELD MA LMHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARL QUEDENFELD MA LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.