SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW) – Social Worker, NPI 1669072625

SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW) is a healthcare provider. based in Baraboo, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials APSW. They hold a License No. 130908-121 (WI). The NPI Number for SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW) is 1669072625

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)
NPI
1669072625
Phone
(608) 355-4200
Address
505 BROADWAY ST
Enumeration Date
29 October 2020
Last Update Date
29 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083554200
Graduation Year
2011 (15 years ago)
PAC ID
5698203727
Group Practice PAC ID
7618931148
Professional Enrollment ID
I20250116002218
Address ID
WI539132183BA505XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)

  • 505 BROADWAY ST

    BARABOO, WI 539132183

    Phone: (608) 355-4200

    Mailing address matches the actual address.

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: 2025-01-16

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
I20250116002218IMental 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 53913)

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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: 7618931148View full group profile
NameSpecialtyState
Clinical Social WorkerWI
P S Y C H I A T R YWI
Nurse PractitionerWI
Mental Health CounselorMN
Mental Health CounselorWI
Nurse PractitionerWI
Clinical Social WorkerWI
Physician AssistantWI
Clinical Social WorkerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)'s NPI number?
SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)'s NPI is 1669072625 — the number used across U.S. healthcare to identify this provider.
Is there an active status for SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)?
For scheduling context, SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW) is shown as active in the registry.
What area of care is associated with SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)?
SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW)?
Directory geography for SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW) centers on Baraboo, Wisconsin.
When was this NPI issued?
Enumeration for SOLARE ELIZABETH O'BRIEN-BRETHORST (APSW) is noted as October 29, 2020 where the registry provides it.

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