LAKE SUBSTANCE ABUSE SOLUTIONS LLC
NPI 1124598669
Nurse Practitioner - Psychiatric/Mental Health in Jeffersonville, IN
About Lake Substance Abuse Solutions Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE SUBSTANCE ABUSE SOLUTIONS LLC (NPI 1124598669) is a healthcare organization registered as a psychiatric/mental health in Jeffersonville, Indiana and active in the NPI registry since November 2018. The organization maintains 2 additional practice locations and lists David Corddry, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
Group Practice 1
Accepted 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)
Lake Substance Abuse Solutions Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Lake Substance Abuse Solutions LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 31Source: 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 Lake Substance Abuse Solutions LLC's NPI number?
The NPI number for Lake Substance Abuse Solutions LLC is 1124598669. It was assigned to this organization in the NPPES registry on November 27, 2018.
Where is Lake Substance Abuse Solutions LLC located?
Lake Substance Abuse Solutions LLC is located at 1507 Spring St, Jeffersonville, IN 47130. The listed phone number is (833) 525-3727.
What is Lake Substance Abuse Solutions LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lake Substance Abuse Solutions LLC enrolled in Medicare?
Yes. Lake Substance Abuse Solutions LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Substance Abuse Solutions LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 4 Medicare specialties reassign their Medicare billing to Lake Substance Abuse Solutions LLC. 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. The largest specialties are Nurse Practitioner (15), Clinical Social Worker (10) and Mental Health Counselor (4). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lake Substance Abuse Solutions LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Lake Substance Abuse Solutions 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 Lake Substance Abuse Solutions LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Lake Substance Abuse Solutions Llc · NPI 1124598669
Psychiatric/Mental Health organization in Jeffersonville, Indiana. Organization record, active in the CMS NPPES registry since November 27, 2018.
## Identity
- **NPI:** 1124598669 (Entity type: Organization)
- **Enumerated:** November 27, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** David Corddry, OWNER
## Practice location
- **Address:** 1507 SPRING ST, Jeffersonville, IN 47130-2939
- **Phone:** (833) 525-3727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Clinical Social Worker (10), Mental Health Counselor (4); 7 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1124598669/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124598669) · Data from the CMS NPPES public registry.