Individual
MR. JACOB M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
259 W BROADWAY STE 123, WAUKESHA, WI 53186-4832
(262) 278-0044
Mailing address
259 W BROADWAY STE 123, WAUKESHA, WI 53186-4832
(262) 278-0044
(262) 277-0947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12523-125
WI
101YP2500X
Professional Counselor
Primary
12523-125
WI
101YP2500X
Professional Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12523-125
STATE OF WI DSPS
WI
Enumeration date
09/06/2023
Last updated
05/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up