BRYAN FRAZIER (LPC-IT) – Professional Counselor, NPI 1114681848

BRYAN FRAZIER (LPC-IT) is a healthcare provider. based in Madison, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC-IT. They hold a License No. 5086-226 (WI). The NPI Number for BRYAN FRAZIER (LPC-IT) is 1114681848

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN FRAZIER (LPC-IT)
NPI
1114681848
Phone
(608) 280-2700
Address
25 KESSEL CT STE 105
Enumeration Date
28 October 2021
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207875514
Graduation Year
2019 (7 years ago)
PAC ID
3779921325
Group Practice PAC ID
8729996574
Professional Enrollment ID
I20240402003256
Address ID
WI544813269ST3125XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for BRYAN FRAZIER (LPC-IT)

  • 25 KESSEL CT STE 105

    MADISON, WI 537116227

    Phone: (608) 280-2700

    Type: Mailing

  • 49 KESSEL CT

    MADISON, WI 537116200

    Phone: (608) 280-2700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240402003256IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729996574View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Clinical Social WorkerWI
Mental Health CounselorWI
Nurse PractitionerWI
Nurse PractitionerIA
Nurse PractitionerWI
Mental Health CounselorWI
Nurse PractitionerWI
C H I R O P R A C T I CWI

Reviews

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Frequently asked questions

Does BRYAN FRAZIER (LPC-IT) have a public NPI I can cite?
Public records show BRYAN FRAZIER (LPC-IT) under NPI 1114681848.
Is BRYAN FRAZIER (LPC-IT)'s NPI status active today?
Active status means BRYAN FRAZIER (LPC-IT)'s NPI record is not deactivated in the public file.
What does the directory say BRYAN FRAZIER (LPC-IT) does?
Insurance directories may phrase it differently, but here BRYAN FRAZIER (LPC-IT) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit BRYAN FRAZIER (LPC-IT) in Madison, Wisconsin?
For routing, start with Madison, Wisconsin for BRYAN FRAZIER (LPC-IT), then verify phone and hours locally.
Who maintains BRYAN FRAZIER (LPC-IT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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