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ROUNDTABLE WELLNESS
NPI 1023739067
Clinic/Center - Adult Mental Health in Carmel, IN

Active since September 08, 2022
90 EXECUTIVE DR STE C, CARMEL, IN 46032(765) 630-7222(765) 630-7905 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roundtable Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROUNDTABLE WELLNESS (NPI 1023739067) is a healthcare organization registered as an adult mental health in Carmel, Indiana and active in the NPI registry since September 2022. The organization lists Renee Michelle Tilt, Owner, Ceo, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1023739067
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameROUNDTABLE WELLNESS
Location Address90 EXECUTIVE DR STE CCarmel, IN 46032-2612
Mailing Address904 South StLafayette, IN 47901-1416 · (765) 630-7222 · Fax (765) 630-7905
Phone(765) 630-7222
Fax(765) 630-7905
Organization SubpartNo
Authorized OfficialRenee Michelle TiltOwner, Ceo, Clinical Director · (765) 630-7222
Enumeration DateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1023739067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
90 EXECUTIVE DR STE C, Carmel, IN 46032
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roundtable Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roundtable Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emily Ervin, LMHCA
Mental Health Counselor
NPI 1134713308
904 SOUTH ST
Lafayette, IN 47901
(765) 630-7222
✔ PECOS✔ Accepts Medicare51 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roundtable Wellness's NPI number?

The NPI number for Roundtable Wellness is 1023739067. It was assigned to this organization in the NPPES registry on September 8, 2022.

Where is Roundtable Wellness located?

Roundtable Wellness is located at 90 Executive Dr Ste C, Carmel, IN 46032. The listed phone number is (765) 630-7222.

What is Roundtable Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Roundtable Wellness enrolled in Medicare?

Yes. Roundtable Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roundtable Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Roundtable Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roundtable Wellness accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Roundtable Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roundtable Wellness was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.