KOKWAA LLC
NPI 1114702487
Clinic/Center - Mental Health (Including Community Mental Health Center) in Indianapolis, IN

Active since August 25, 2023
6144 HILLSIDE AVE STE 11, INDIANAPOLIS, IN 46220(502) 705-3906 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 10, 2025, Aug 25, 2023 (2 updates tracked since 2023).

About Kokwaa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOKWAA LLC (NPI 1114702487) is a healthcare organization registered as a mental health (including community mental health center) in Indianapolis, Indiana and active in the NPI registry since August 2023. The organization lists Angelica Marilyn Ronke, Clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1114702487
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKOKWAA LLC
Location Address6144 HILLSIDE AVE STE 11Indianapolis, IN 46220-2474
Mailing Address6144 Hillside Ave Ste 11Indianapolis, IN 46220-2474 · (502) 705-3906
Organization SubpartNo
Authorized OfficialAngelica Marilyn RonkeClinical Manager · (502) 705-3906
Enumeration DateAugust 25, 2023
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1114702487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
6144 HILLSIDE AVE STE 11, Indianapolis, IN 46220

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kokwaa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kokwaa LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1881380376
6144 HILLSIDE AVE STE 11
Indianapolis, IN 46220
(502) 705-3906
✔ PECOSSame address

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

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 Kokwaa LLC's NPI number?

The NPI number for Kokwaa LLC is 1114702487. It was assigned to this organization in the NPPES registry on August 25, 2023.

Where is Kokwaa LLC located?

Kokwaa LLC is located at 6144 Hillside Ave Ste 11, Indianapolis, IN 46220. The listed phone number is (502) 705-3906.

What is Kokwaa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Kokwaa LLC enrolled in Medicare?

Yes. Kokwaa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kokwaa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kokwaa LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kokwaa LLC was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.