MEDICARE: THRIVE COUNSELING AND CONSULTING 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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1427994862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE COUNSELING AND CONSULTING LLC

Provider Business Mailing Address
First Line	:	300 RIP VAN WINKLE DR
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-3057
Country	:	US
Telephone Number	:	262-278-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 RIP VAN WINKLE DR
Second Line	:
City	:	WAUKESHA
State	:	WI
Zip	:	53186-3057
Country	:	US
Telephone Number	:	262-278-0044
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	MR. JACOB B. MICHAEL PETERS
Credential	:	LLPC
Telephone Number	:	262-278-0044

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	05/03/2026

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