Organization · Type 2 NPI
Icr Outpatient Operating Subsidiary, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Wayne, IN
NPI number
1568311900
Active
Practice location
7900 W Jefferson Blvd Ste 300
Fort Wayne, IN 46804-4128
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Other practice locations
- 14555 Hazel Dell Pkwy, Carmel, IN 46033-7000 · (812) 645-3895
- 2529 Schuyler Ave Ste 700, Lafayette, IN 47905-3982 · (812) 645-3895
- 1578 E 85th Ave, Merrillville, IN 46410-8900 · (812) 645-3895
- 601 N Shore Dr, Jeffersonville, IN 47130-3142 · (812) 645-3895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Fort Wayne
- Christina Stapleton, L.l.cMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1003205998
- Serene Mental HealthMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1003741059
- Phaecia A. Ward, LCSW Counseling and Consulting Services, LLCMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1013585777
- Embodied Mental Health Counseling LLCMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1013734714
- KMR Psychiatric Services LLCMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1053943779
- Cynthia Probst LMHC LLCMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1053964866
- Mary Rose Lcsw, LLCMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1083399869
- Sarah Smith LMHC LLCMental Health Clinic/Center (Including Community Mental Health Center) Fort Wayne, IN NPI 1154280964
About NPI 1568311900
Icr Outpatient Operating Subsidiary, LLC's National Provider Identifier is 1568311900, issued on Jan 27, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 27, 2026.