Active NPI
Alison R. Kwolek, MSED
- Mental Health Counselor
- Angola, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39004147A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39004147A | IN | MD | Mental Health Counselor |
| E.2505497 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sante' Group, Inc. | Current | Accepting new patients | |
| Alliance Health Centers Inc. | Current | Accepting new patients | |
| Alliance Health Centers Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1316556848
-
- Federally Qualified Health Center (FQHC)
- Marion, IN
- NPI 1013880913
-
- Federally Qualified Health Center (FQHC)
- Auburn, IN
- NPI 1538047832
-
- Marriage & Family Therapist
- Angola, IN
- NPI 1932127339
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.