Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael D Kolasa, LPC

Individual provider Professional Counselor · NPI 1467979724

Michael D Kolasa, LPC is a Mental Health Counselor in Fairbanks, Alaska. Qualified in 2015, 11 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
11
Licensed in
AK
In the registry since
2017
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

600 University Ave Ste 5
Fairbanks, AK 99709
Phone: (907) 347-1989
Fax: (907) 459-8201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 122176 (AK)

Record details

NPI number1467979724
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 28, 2017
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing addressPo Box 72461, Fairbanks, AK 99707-2461

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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