Active NPI
Ralph Merrill Wetzel, M.DIV, S.T.M, D.MIN.
- Pastoral Counselor
- Fort Wayne, IN
National Provider Identifier
1063525616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 2121 Lake Ave
125-F
Fort Wayne, IN 46805-5100 - Phone
- (260) 426-5431
- Fax
- (260) 460-1402
- NPI assigned
- Aug 17, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | |||
| Specialist | 174400000X | |||
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
2121 Lake Ave
125-F
Fort Wayne, IN 46805-5100
Mailing address
4310 Ara Dr
P.O. Box 286
Woodburn, IN 46797-9588
Phone (260) 493-3695
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8934521762 | Other | IN | DRIVER'S LICENSE |
| 27105178 | Other | IN | TPIN |
| BRANDY432 | Other | IN | MPIN |
| P0500190 | Other | IN | SBA |
| XZMXZ3084733 | Other | IN | BLUECROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1063525616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 ARA DR",
"address_2": "P.O. BOX 286",
"city": "WOODBURN",
"state": "IN",
"postal_code": "467979588",
"telephone_number": "260-493-3695",
"fax_number": "260-493-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 LAKE AVE",
"address_2": "125-F",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055100",
"telephone_number": "260-426-5431",
"fax_number": "260-460-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "RALPH",
"middle_name": "MERRILL",
"name_prefix": "Dr.",
"credential": "M.DIV, S.T.M, D.MIN.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "8934521762",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPIN",
"identifier": "27105178",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPIN",
"identifier": "BRANDY432",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SBA",
"identifier": "P0500190",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "XZMXZ3084733",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.