BRIAN D COOK SAC-IT, LCSW
NPI 1669021085
Counselor - Addiction (Substance Use Disorder) in Madison, WI

Active since September 09, 2019PECOS EnrolledAccepts Medicare Assignment
1102 S PARK ST, MADISON, WI 53715(608) 282-8270 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2023, Sep 9, 2019 (2 updates tracked since 2019).

About Brian D Cook Sac-it, Lcsw NPPES

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

BRIAN D COOK SAC-IT, LCSW (NPI 1669021085) is an individual addiction (substance use disorder) provider in Madison, Wisconsin, licensed in Wisconsin (11234-123) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2019).

NPPES Registry Identity

NPI1669021085
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRIAN D COOKCredential: SAC-IT, LCSW
Location Address1102 S PARK STMadison, WI 53715-1708
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
NPI 1669021085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in WI · 11234-123 Licensed in WI · 18938-130
1102 S PARK ST, Madison, WI 53715

Accepted Insurance

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

Brian D Cook Sac-it, Lcsw 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 ID3476078569
PECOS Enrollment IDI20250422001475
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.

Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Counselor (Addiction (Substance Use Disorder))
1102 S PARK ST
MADISON, WI 53715
Counselor (Professional)
1102 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1102 S PARK ST
MADISON, WI 53715
Social Worker (Clinical)
1102 S PARK ST, SUITE 400
MADISON, WI 53715
Durable Medical Equipment & Medical Supplies
1102 S PARK ST, 2ND FLOOR
MADISON, WI 53715
Clinic/Center (Federally Qualified Health Center (FQHC))
1102 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
1102 S PARK ST
MADISON, WI 53715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669021085, enumerated as an "individual" on September 09, 2019.

The provider is located at 1102 S PARK ST MADISON, WI 53715 and the phone number is (608) 282-8270.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to verify.