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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: October 25, 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 and maintains a secondary practice location in Fishers.

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
Phone(407) 347-4536
Sole ProprietorYes
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jon Fader reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Substance Abuse Solutions LLC
Same address
Psychiatric/Mental Health
1507 SPRING ST
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 15 clinicians in this Medicare group
NPI 1124598669 (833) 525-3727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
LAKE SUBSTANCE ABUSE SOLUTIONS LLC
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

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.

Which organization bills Medicare for Jon Fader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Fader reassigns Medicare benefits to Lake Substance Abuse Solutions LLC (Jeffersonville, IN). The 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 Jon Fader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 Blue Cross and Blue Shield of NC and 4 other insurers 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 15 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.