Active NPI
Icr Outpatient Operating Subsidiary, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ICR OUTPATIENT OPERATING SUBSIDIARY, LLC
- Practice address
- 135 Hospital LN
Terre Haute, IN 47802-4247 - Phone
- (812) 645-3895
- NPI assigned
- Jan 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Gurney
- Title
- Authorized Official
- Phone
- (561) 517-3400
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
135 Hospital LN
Terre Haute, IN 47802-4247
Mailing address
2925 10TH Ave N
Palm Springs, FL 33461-3000
Other practice location 1
1578 E 85th Ave
Merrillville, IN 46410-8900
Phone (812) 645-3895
Other practice location 2
7900 W Jefferson Blvd Ste 300
Fort Wayne, IN 46804-4128
Phone (812) 645-3895
Other practice location 3
601 N Shore Dr
Jeffersonville, IN 47130-3142
Phone (812) 645-3895
Other practice location 4
2529 Schuyler Ave Ste 700
Lafayette, IN 47905-3982
Phone (812) 645-3895
Other practice location 5
14555 Hazel Dell Pkwy
Carmel, IN 46033-7000
Phone (812) 645-3895
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2288471 | Icr Outpatient Operating Subsidiary, LLC | Certificate of waiver | Aug 24, 2027 |
| 15D2288475 | Icr Outpatient Operating Subsidiary, LLC | Certificate of waiver | Aug 24, 2027 |
| 15D2288476 | Icr Outpatient Operating Subsidiary, LLC | Certificate of waiver | Aug 24, 2027 |
| 15D2313563 | Icr Outpatient Operating Subsidiary, LLC | Certificate of waiver | Nov 3, 2026 |
| 15D2344462 | Icr Outpatient Operating Subsidiary, LLC | Certificate of waiver | May 21, 2028 |
| 15D2344466 | Icr Outpatient Operating Subsidiary, LLC | Certificate of waiver | May 21, 2028 |
National Provider Directory
National Provider DirectoryLocations
601 N Shore Dr
Jeffersonville, IN 47130
Phone (812) 207-2092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785024000000",
"number": "1568311900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 10TH AVE N",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 HOSPITAL LN",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024247",
"telephone_number": "812-645-3895"
}
],
"practiceLocations": [
{
"address_1": "1578 E 85th Ave",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464108900",
"country_code": "US",
"telephone_number": "812-645-3895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 W Jefferson Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468044128",
"country_code": "US",
"telephone_number": "812-645-3895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Shore Dr",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471303142",
"country_code": "US",
"telephone_number": "812-645-3895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2529 Schuyler Ave Ste 700",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479053982",
"country_code": "US",
"telephone_number": "812-645-3895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14555 Hazel Dell Pkwy",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460337000",
"country_code": "US",
"telephone_number": "812-645-3895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ICR OUTPATIENT OPERATING SUBSIDIARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-27",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A",
"authorized_official_last_name": "GURNEY",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "561-517-3400"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.