Active NPI
Mark Cogdill, LPC
- Professional Counselor
- Madison, WI
National Provider Identifier
1710451679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3841-226
- Practice address
- 128 E Olin Ave Ste 100
Madison, WI 53713-1467 - Phone
- (608) 252-1320
- Fax
- (608) 252-1333
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3841-226 | WI | Primary |
Addresses
Primary practice location
128 E Olin Ave Ste 100
Madison, WI 53713-1467
Mailing address
128 E Olin Ave Ste 100
Madison, WI 53713-1467
Phone (608) 252-1320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3841-226 | Other | WI | STATE LICENSE |
| 8596 | Other | WI | WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3841-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service Madison Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1881806198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1710451679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E OLIN AVE STE 100",
"city": "MADISON",
"state": "WI",
"postal_code": "537131467",
"telephone_number": "608-252-1320",
"fax_number": "608-252-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E OLIN AVE STE 100",
"city": "MADISON",
"state": "WI",
"postal_code": "537131467",
"telephone_number": "608-252-1320",
"fax_number": "608-252-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGDILL",
"first_name": "MARK",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-14",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3841-226",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3841-226",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICE",
"identifier": "8596",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.