Healthcare Provider Details

I. General information

NPI: 1528531191
Provider Name (Legal Business Name): ELITE COGNITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 LATHAM DR
MADISON WI
53713-4613
US

IV. Provider business mailing address

3101 LATHAM DR
MADISON WI
53713-4613
US

V. Phone/Fax

Practice location:
  • Phone: 608-286-1132
  • Fax: 608-440-2954
Mailing address:
  • Phone: 82-861-1326
  • Fax: 608-440-2954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: LYNN GILPIN-PARKS
Title or Position: OWNER/ THERAPIST
Credential: LPC
Phone: 608-286-1132