CARL DIXON QUEDENFELD (LMHC,LCSW) – Addiction (Substance Use Disorder) Counselor, NPI 1265476949
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,711 CLINICAL SOCIAL WORKER in IN
Provider Addresses for CARL DIXON QUEDENFELD (LMHC,LCSW)
8320 MADISON AVE
INDPLS, IN 46227
Phone: (317) 882-5122
Fax: (317) 888-8642
Type: Mailing
7930 VALLEY TRACE LN
INDIANAPOLIS, IN 462378568
Phone: (317) 294-6216
Type: Mailing
6291 Cambridge Way Ste 200
Plainfield, IN 461687944
Phone: (317) 718-8436
Type: Location
7930 VALLEY TRACE LANE
INDPLS, IN 46237
Phone: (317) 294-6216
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090515000323 | I | Clinical Social Worker | IN | TBD |
| I20231204000658 | I | Mental Health Counselor | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46227)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| - | IN | |
| Certified Clinical Nurse Specialist (Cns) | IN | |
| Clinical Social Worker | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | IN | |
| - | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN |
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