Individual provider Active NPI

Paige E Cousin, LCSW

  • Social Worker
  • Beloit, WI
National Provider Identifier
1871219345
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11956-123 Issued in WI
Practice address
540 E Grand Ave
Beloit, WI 53511-6314
Phone
(608) 368-8087
NPI assigned
Oct 17, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11956-123 WI Primary

Addresses

Primary practice location

540 E Grand Ave
Beloit, WI 53511-6314

Mailing address

540 E Grand Ave
Beloit, WI 53511-6314
Phone (608) 368-8087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105002036 WI Practitioner - Clinical Social Worker 0042700494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13325 Glencree LN
Rockton, IL 61072-3230

540 E Grand Ave
Beloit, WI 53511-6314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11956-123WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnet of Rock County, Inc. Social Worker Current Accepting new patients
Healthnet of Rock County, Inc. Professional Current Accepting new patients
Stateline Mental Health Services Professional CurrentSince Oct 27, 2025 Accepting new patients
Rock Valley Community Programs, Inc. PastSince Oct 1, 2022 Accepting new patients

Locations

540 E Grand Ave
Beloit, WI 53511
Phone (608) 365-8575

113 S Franklin St
Janesville, WI 53548
Phone (608) 756-4638

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15975/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1871219345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E GRAND AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116314",
            "telephone_number": "608-368-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E GRAND AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116314",
            "telephone_number": "608-368-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "PAIGE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "11956-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.