BREANNA NICOLE COOK MHR, LPC-C
NPI 1013532076
Counselor - Mental Health in Pryor, OK

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment
109 N FAIRLAND ST, PRYOR, OK 74361(918) 825-1401(918) 825-1406 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Breanna Nicole Cook Mhr, Lpc-c NPPES

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

BREANNA NICOLE COOK MHR, LPC-C (NPI 1013532076) is an individual mental health provider in Pryor, Oklahoma and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013532076
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREANNA NICOLE COOKCredential: MHR, LPC-C
Location Address109 N FAIRLAND STPryor, OK 74361-4205
Mailing Address109 N Fairland StPryor, OK 74361-4205 · (918) 825-1401 · Fax (918) 825-1406
Fax(918) 825-1406
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 15, 2020
NPPES CertifiedJune 15, 2020
✔ NPI 1013532076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
109 N FAIRLAND ST, Pryor, OK 74361

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanna Nicole Cook Mhr, Lpc-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325530793
PECOS Enrollment IDI20251124000269
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.

Medicare Billing Reassignment

Medicare enrollment records show Breanna Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
109 N FAIRLAND ST
Pryor, OK 74361
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group

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

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.

Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Licensed Practical Nurse
109 N FAIRLAND ST
PRYOR, OK 74361
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361
Peer Specialist
109 N FAIRLAND ST
PRYOR, OK 74361
Case Manager/Care Coordinator
109 N FAIRLAND ST
PRYOR, OK 74361

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 Breanna Cook's NPI number?

The NPI number for Breanna Cook is 1013532076. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Breanna Cook located?

Breanna Cook practices at 109 N Fairland St, Pryor, OK 74361. The listed phone number is (918) 825-1401.

What is Breanna Cook's specialty?

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

Is Breanna Cook enrolled in Medicare?

Yes. Breanna Cook is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Breanna Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Cook reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Pryor, OK). The 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 Breanna Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna Cook accept?

Health plans from Oscar Insurance Company list Breanna Cook 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 Breanna Cook was last updated on June 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.