Organization Active NPI

Peace & Power Counseling LLC

  • Clinical Social Worker
  • Janesville, WI
National Provider Identifier
1023859410
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEACE & POWER COUNSELING LLC
Practice address
4539 Woodgate Dr Ste A8
Janesville, WI 53546-8205
Phone
(920) 222-9075
NPI assigned
Jun 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley Elizabeth Cortez, LCSWNPI 1306297270
Title
Owner
Phone
(920) 222-9075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4539 Woodgate Dr Ste A8
Janesville, WI 53546-8205

Mailing address

1272 W Satinwood LN
Whitewater, WI 53190-1657
Phone (920) 222-9075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723004154 WI Part B Supplier - Clinic/Group Practice 9931645272 Receives reassigned benefits from 1 practitioner
Practice locations: Janesville, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1023859410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W SATINWOOD LN",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901657",
            "telephone_number": "920-222-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 WOODGATE DR STE A8",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535468205",
            "telephone_number": "920-222-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE & POWER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "CORTEZ",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-222-9075",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.