DR. JEFFREY DOUGLAS COOK PHD
NPI 1881930774
Counselor - Professional in Whitewater, WI
About Dr. Jeffrey Douglas Cook Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY DOUGLAS COOK PHD (NPI 1881930774) is an individual professional provider in Whitewater, Wisconsin, licensed in Wisconsin (4946-125) and active in the NPI registry since December 2012. He has opted out of Medicare through June 18, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jeffrey Douglas Cook Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2024 through June 18, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeffrey Cook's NPI number?
The NPI number for Jeffrey Cook is 1881930774. It was assigned to this individual provider in the NPPES registry on December 20, 2012.
Where is Jeffrey Cook located?
Jeffrey Cook practices at 162 W Main St Ste G, Whitewater, WI 53190. The listed phone number is (262) 379-0419.
What is Jeffrey Cook's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jeffrey Cook enrolled in Medicare?
No. Jeffrey Cook has opted out of Medicare through June 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jeffrey Cook was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Jeffrey Douglas Cook, PHD · NPI 1881930774
Professional provider in Whitewater, Wisconsin. Individual provider, active in the CMS NPPES registry since December 20, 2012.
## Identity
- **NPI:** 1881930774 (Entity type: Individual)
- **Enumerated:** December 20, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4946-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 162 W MAIN ST STE G, Whitewater, WI 53190-1995
- **Phone:** (262) 379-0419
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 20, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1881930774) · Data from the CMS NPPES public registry.