Jacob Peters, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12523-125 Issued in WI

Practice address

259 W Broadway Ste 123
Waukesha, WI 53186-4832

Phone

(262) 278-0044

NPI assigned

Sep 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Counseling and Consulting LLC

  • Counselor
  • Waukesha, WI
  • NPI 1427994862
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1821874769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 W BROADWAY STE 123",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864832",
            "telephone_number": "262-278-0044",
            "fax_number": "262-277-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 W BROADWAY STE 123",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864832",
            "telephone_number": "262-278-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Rip Van Winkle Dr",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531863057",
            "country_code": "US",
            "telephone_number": "262-278-0044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "12523-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI DSPS",
            "identifier": "12523-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ericka Perry, R.N.
• Jocelyn Perry
• Peter G. Reichl D.D.S., SC
• Beth Alyssa Peters, RN
• Elizabeth Marie Peters, RN
• Sara M Peters, PMHNP-BC
• Taylor Frances Peters
• Deborah J. Petersen, MD
• Eryn Petersen
• Gerald D Petersen, D.D.S.

• Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.