INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
NPI 1093412793
Clinic/Center - Mental Health (Including Community Mental Health Center) in Merrillville, IN

Q: What is Indiana Center For Recovery Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since February 13, 2023CLIA 15D2288485 · Waiver

1578 E 85TH AVE, MERRILLVILLE, IN 46410(561) 305-0461 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2023, Jun 15, 2023, Mar 15, 2023 and 2 more (5 updates tracked since 2023).

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About Indiana Center For Recovery Outpatient Services Llc NPPES

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

INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC (NPI 1093412793) is a healthcare organization registered as a mental health (including community mental health center) in Merrillville, Indiana and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through August 24, 2027, maintains a secondary practice location in Bloomington, and lists Kirill Vesselov, President, as its authorized official.

NPPES Registry Identity

NPI1093412793

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameINDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC

Location Address1578 E 85TH AVEMerrillville, IN 46410-8900

Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000 · (561) 305-0461

Phone(561) 305-0461

Organization SubpartNo

Authorized OfficialKirill VesselovPresident · (561) 305-0461

Enumeration DateFebruary 13, 2023

Last NPPES UpdateDecember 14, 20235 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ NPI 1093412793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

1578 E 85TH AVE, Merrillville, IN 46410

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Secondary Practice Location 1

Location 1637 S Walker StBloomington, IN 47403-2176 · Phone (561) 635-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2288485

Indiana Center For Recovery Outpatient Services · Terre Haute, IN

Active · expires Aug 24, 2027

CLIA Number15D2288485

Laboratory TypeSubstance Abuse

Certificate Effective DateAugust 25, 2025

Certificate Expiration DateAugust 24, 2027

Laboratory DirectorMichael Kane

Laboratory Phone(561) 305-0461

Laboratory LocationIndiana Center For Recovery Outpatient Services3903 South 7th St Suite 2a2, Terre Haute, IN 47802

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYLEY JORDAN DORSETT MA, LMHC, NCC

Counselor (Mental Health)

1578 E 85TH AVE
MERRILLVILLE, IN 46410

Lake County (217) 822-6360

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 Indiana Center For Recovery Outpatient Services LLC's NPI number?

The NPI number for Indiana Center For Recovery Outpatient Services LLC is 1093412793. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Indiana Center For Recovery Outpatient Services LLC located?

Indiana Center For Recovery Outpatient Services LLC is located at 1578 E 85th Ave, Merrillville, IN 46410. The listed phone number is (561) 305-0461.

What is Indiana Center For Recovery Outpatient Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Indiana Center For Recovery Outpatient Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2288485) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Indiana Center For Recovery Outpatient Services LLC accept?

Health plans from Baylor Scott and White Health Plan list Indiana Center For Recovery Outpatient Services LLC 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 Indiana Center For Recovery Outpatient Services LLC was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.