MR. JAMES E PEACOCK CSAC ICS NPI 1588119887

NPI Information

NPI: 1588119887
Provider Name: MR. JAMES E PEACOCK, CSAC, ICS
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 36745 AIKEN RD
BAYFIELD, WI
ZIP 54814
Phone: (715) 779-3707

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NPI Details

MR. James E Peacock, CSAC, ICS is an addiction (substance use disorder) counselor in Bayfield, WI. MR. James E Peacock, CSAC, ICS NPI is 1588119887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36745 AIKEN RD
BAYFIELD, WI
ZIP 54814-579
Phone: (715) 779-3707
Fax: (715) 779-3362

The enumeration date for this NPI number is 8/17/2016 and was last updated on 5/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	14968-132	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	14968132	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100059919	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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