Individual provider Active NPI

Alison R. Kwolek, MSED

  • Mental Health Counselor
  • Angola, IN
National Provider Identifier
1659864858
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004147A Issued in IN
Practice address
603 N Wayne St Ste 2a
Angola, IN 46703-1080
Phone
(260) 668-8797
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2505497 OH
Mental Health Counselor 101YM0800X 39004147A IN Primary

Addresses

Primary practice location

603 N Wayne St Ste 2a
Angola, IN 46703-1080

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169

Other practice location 1

201 N Illinois St
Indianapolis, IN 46204-1904
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305000094 IN Practitioner - Mental Health Counselor 2466802046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2700 Lafayette St
Suite 110
Fort Wayne, IN 46806-1100

6619 Brotherhood Way
Fort Wayne, IN 46825-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39004147AINMDMental Health Counselor
E.2505497OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Sante' Group, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Alliance Health Centers Inc. CurrentSince Feb 16, 2026 Accepting new patients
Alliance Health Centers Inc. CurrentSince Feb 16, 2026 Accepting new patients

Locations

603 N Wayne St
Angola, IN 46703
Phone (260) 233-0780

603 N Wayne St
Ste 2A
Angola, IN 46703
Phone (260) 668-8797

1316 E 7th St
Ste 2
Auburn, IN 46706
Phone (260) 927-0035

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1659864858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880",
            "telephone_number": "574-267-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WAYNE ST STE 2A",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467031080",
            "telephone_number": "260-668-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Illinois St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041904",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWOLEK",
        "first_name": "ALISON",
        "middle_name": "R.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505497",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004147A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.