JON FADER LCAC, LCSW
NPI 1821416967
Counselor - Addiction (Substance Use Disorder) in Jeffersonville, IN

Active since April 05, 2014PECOS Enrolled
1507 SPRING ST, JEFFERSONVILLE, IN 47130(407) 347-4536 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Jun 22, 2025, Mar 18, 2021 (3 updates tracked since 2021).

About Jon Fader Lcac, Lcsw NPPES

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

JON FADER LCAC, LCSW (NPI 1821416967) is an individual addiction (substance use disorder) provider in Jeffersonville, Indiana, licensed in Indiana (87000979A) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fishers, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1821416967
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJON FADERCredential: LCAC, LCSW
Location Address1507 SPRING STJeffersonville, IN 47130-2939
Mailing Address1507 Spring StJeffersonville, IN 47130-2939 · (407) 347-4536
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateApril 5, 2014
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1821416967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in IN · 87000979A
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 34010187A (IN)
1507 SPRING ST, Jeffersonville, IN 47130

Secondary Practice Location 1

Location 111860 Sand Creek BlvdFishers, IN 46037-8793 · Phone (317) 572-8204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jon Fader Lcac, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082037403
PECOS Enrollment IDI20250729000968
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Nurse Practitioner (Psychiatric/Mental Health)
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Allergy & Immunology
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Legal Medicine
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Durable Medical Equipment & Medical Supplies
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Counselor
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Social Worker (Clinical)
1507 SPRING ST
JEFFERSONVILLE, IN 47130
Counselor (Mental Health)
1507 SPRING ST
JEFFERSONVILLE, IN 47130

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 Jon Fader's NPI number?

The NPI number for Jon Fader is 1821416967. It was assigned to this individual provider in the NPPES registry on April 5, 2014.

Where is Jon Fader located?

Jon Fader practices at 1507 Spring St, Jeffersonville, IN 47130. The listed phone number is (407) 347-4536.

What is Jon Fader's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jon Fader enrolled in Medicare?

Yes. Jon Fader is registered in the Medicare PECOS enrollment system.

What insurance does Jon Fader accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jon Fader 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 Jon Fader was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.