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LAKE SUBSTANCE ABUSE SOLUTIONS LLC
NPI 1124598669
Nurse Practitioner - Psychiatric/Mental Health in Jeffersonville, IN

Active since November 27, 2018
1507 SPRING ST, JEFFERSONVILLE, IN 47130(833) 525-3727 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Nov 9, 2022, Feb 25, 2022 and 1 more (4 updates tracked since 2018).

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

NPI1124598669
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLAKE SUBSTANCE ABUSE SOLUTIONS LLC
Location Address1507 SPRING STJeffersonville, IN 47130-2939
Mailing Address225 W Canton Ave Ste 600Winter Park, FL 32789-3181 · (407) 622-8086
Phone(833) 525-3727
Organization SubpartNo
Authorized OfficialDavid CorddryOwner · (407) 622-8086
Enumeration DateNovember 27, 2018
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1124598669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X
1507 SPRING ST, Jeffersonville, IN 47130
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Secondary Practice Locations 2

Location 1225 W Canton Ave Ste 600Winter Park, FL 32789-3181 · Phone (833) 525-3727
Location 21143 Fairway St Unit 110Bowling Green, KY 42103-2452 · Phone (833) 525-3727

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 Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

CAROLYN SUE BRITT NP
Nurse Practitioner (Psychiatric/Mental Health)
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (833) 525-3727
DR. CHARLES KEMPER M.P.C.
Allergy & Immunology
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (812) 282-3772
FAMILY MEDICINE OF SOUTHERN INDIANA
Legal Medicine
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (812) 280-0413
SLEEP SOLUTIONS, INC.
Durable Medical Equipment & Medical Supplies
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (812) 288-0933
SHANDA BRITT
Counselor
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (812) 901-6881
STEPHANIE WHITE
Social Worker (Clinical)
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (812) 901-6881
HEAVENLY STAR GLORIA GILBERT LMHCA
Counselor (Mental Health)
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (812) 901-6881
JON FADER LCAC, LCSW
Counselor (Addiction (Substance Use Disorder))
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Clark County (407) 347-4536

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.

What insurance does Lake Substance Abuse Solutions LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee 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 11 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.