Organization Active NPI

County of Cook

Doing business as Cook Co Wilderness Outpatient Treatment

  • Addiction (Substance Use Disorder) Counselor
  • Grand Marais, MN
National Provider Identifier
1336327410
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
810854-1-CDT Issued in MN
Legal business name
COUNTY OF COOK
Doing business as
Cook Co Wilderness Outpatient Treatment
Practice address
411 W 2ND St
Grand Marais, MN 55604-2307
Phone
(218) 387-3020
NPI assigned
Jan 31, 2008
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alison McIntyre
Title
Director
Phone
(218) 387-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 810854-1-CDT MN Primary

Addresses

Primary practice location

411 W 2ND St
Grand Marais, MN 55604-2307

Mailing address

411 W 2ND St
Grand Marais, MN 55604-2307
Phone (218) 387-3020

Other identifiers 1

IdentifierTypeStateIssuer
407791100MedicaidMN

Other names 1

  • Cook Co Wilderness Outpatient Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cook Co Wilderness Outpatient Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1336327410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 2ND ST",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042307",
            "telephone_number": "218-387-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 2ND ST",
            "city": "GRAND MARAIS",
            "state": "MN",
            "postal_code": "556042307",
            "telephone_number": "218-387-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "218-387-3620"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "810854-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407791100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Co Wilderness Outpatient Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Marais, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.