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KOI DERRICK COOK
NPI 1568119048
Social Worker - Clinical in Moab, UT

Active since March 04, 2022PECOS EnrolledAccepts Medicare Assignment
198 E CENTER ST, MOAB, UT 84532(435) 259-6131 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Koi Derrick Cook NPPES

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

KOI DERRICK COOK (NPI 1568119048) is an individual clinical provider in Moab, Utah, licensed in Utah (12693112-3501) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1568119048
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKOI DERRICK COOK
Location Address198 E CENTER STMoab, UT 84532-2430
Mailing AddressPo Box 867Price, UT 84501-0867 · (435) 637-7200
Phone(435) 259-6131
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 4, 2022
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1568119048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 12693112-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
198 E CENTER ST, Moab, UT 84532
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Koi Derrick Cook 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 ID9931629375
PECOS Enrollment IDI20250228000148
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MATTHEW BLANK
Case Manager/Care Coordinator
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
MICHELLE SAGGBOY
Social Worker
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
MR. AMMON SORENSEN APC
Counselor (Mental Health)
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
LESLIE VAN GOLDTOOTH
Case Manager/Care Coordinator
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
RONALD DALE DAY LCSW
Social Worker (Clinical)
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
DR. MICKEY JOE FULLER MA, MS, PSY.D.
Counselor (Professional)
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
AUBREY DAVIS
Social Worker (School)
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131
MALLORY MISHLER
Case Manager/Care Coordinator
198 E CENTER ST
MOAB, UT 84532
Grand County (435) 259-6131

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 Koi Cook's NPI number?

The NPI number for Koi Cook is 1568119048. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Where is Koi Cook located?

Koi Cook practices at 198 E Center St, Moab, UT 84532. The listed phone number is (435) 259-6131.

What is Koi Cook's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Koi Cook enrolled in Medicare?

Yes. Koi 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.

When was this NPI record last updated?

The NPPES record for Koi Cook was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.