MEDICARE: PEACE AND PURPOSE THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1316812035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE AND PURPOSE THERAPY LLC

Provider Business Mailing Address
First Line	:	PO BOX 42
Second Line	:
City	:	PRAIRIE DU SAC
State	:	WI
Zip	:	53578-0042
Country	:	US
Telephone Number	:	608-856-6615
Fax Number	:	608-305-8871

Provider Business Practice Location Address
First Line	:	603 WATER ST STE 4
Second Line	:
City	:	SAUK CITY
State	:	WI
Zip	:	53583-1459
Country	:	US
Telephone Number	:	608-856-6615
Fax Number	:	603-305-8871

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	JAMES PEARSON
Credential	:	LCSW, ICS, CSAC
Telephone Number	:	608-856-6615

Provider Enumeration Date	:	10/10/2025
Last Update Date	:	05/22/2026

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Directions to “PEACE AND PURPOSE THERAPY LLC ” Practice Location

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