INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
NPI 1639869464
Clinic/Center - Mental Health (Including Community Mental Health Center) in Carmel, IN

Active since May 15, 2023
14555 HAZEL DELL PKWY STE 140, CARMEL, IN 46033(561) 305-0461 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Dec 14, 2023, May 15, 2023 (3 updates tracked since 2023).

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 1639869464) is a healthcare organization registered as a mental health (including community mental health center) in Carmel, Indiana and active in the NPI registry since May 2023. The organization lists Kirill Vesselov, President, as its authorized official.

NPPES Registry Identity

NPI1639869464
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameINDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Location Address14555 HAZEL DELL PKWY STE 140Carmel, IN 46033-7234
Mailing Address14555 Hazel Dell PkwyCarmel, IN 46033-7000
Organization SubpartYes
Authorized OfficialKirill VesselovPresident · (561) 461-3791
Enumeration DateMay 15, 2023
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1639869464 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 ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
14555 HAZEL DELL PKWY STE 140, Carmel, IN 46033

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)

Indiana Center For Recovery Outpatient Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Indiana Center For Recovery Outpatient Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1255057766
5510 S EMERSON AVE
Indianapolis, IN 46237
(844) 650-0064
✔ PECOS22 mi
Psychiatry
NPI 1497891840
1004 W 1ST ST
Bloomington, IN 47403
(812) 393-5534
✔ PECOS63 mi
Nurse Practitioner
NPI 1467936070
215 W 4TH ST
Mishawaka, IN 46544
(574) 325-5961
✔ PECOS115 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 Indiana Center For Recovery Outpatient Services LLC's NPI number?

The NPI number for Indiana Center For Recovery Outpatient Services LLC is 1639869464. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Indiana Center For Recovery Outpatient Services LLC located?

Indiana Center For Recovery Outpatient Services LLC is located at 14555 Hazel Dell Pkwy Ste 140, Carmel, IN 46033. 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.

Is Indiana Center For Recovery Outpatient Services LLC enrolled in Medicare?

Yes. Indiana Center For Recovery Outpatient Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indiana Center For Recovery Outpatient Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Indiana Center For Recovery Outpatient Services LLC, in Nurse Practitioner and Psychiatry. 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 Indiana Center For Recovery Outpatient Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and 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 November 13, 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.