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ALEX D. KELLOGG
NPI 1629535034
Counselor - Mental Health in Fort Wayne, IN

Active since February 22, 2019PECOS Enrolled
2100 GOSHEN RD, FORT WAYNE, IN 46808(260) 471-3500 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alex D. Kellogg NPPES

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

ALEX D. KELLOGG (NPI 1629535034) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629535034
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameALEX D. KELLOGG
Location Address2100 GOSHEN RDFort Wayne, IN 46808-1493
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880
Phone(260) 471-3500
Sole ProprietorNo
Enumeration DateFebruary 22, 2019
✔ NPI 1629535034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2100 GOSHEN RD, Fort Wayne, IN 46808
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alex D. Kellogg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY JAY HILL MSED
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500
REBECA G ACKERMANN MSED, LMFT
Marriage & Family Therapist
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500
WINELL JORDAN MA
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500
MRS. EUNICE WANJIKU HAHN PMHNP
Psychiatry & Neurology (Psychiatry)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 206-7830
TAYLOR GABLER MA
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500
MARKITA R POWELL
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500
JADE E. BROWN MSSW
Social Worker (Clinical)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500
ABIGAIL ATAKEY MA
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808
Allen County (260) 471-3500

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 Alex Kellogg's NPI number?

The NPI number for Alex Kellogg is 1629535034. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Alex Kellogg located?

Alex Kellogg practices at 2100 Goshen Rd, Fort Wayne, IN 46808. The listed phone number is (260) 471-3500.

What is Alex Kellogg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alex Kellogg enrolled in Medicare?

Yes. Alex Kellogg is registered in the Medicare PECOS enrollment system.

What insurance does Alex Kellogg accept?

Health plans from CareSource and UnitedHealthcare list Alex Kellogg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alex Kellogg was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.