Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Bryan James Peacock, LPC

Individual provider Professional Counselor · NPI 1780819797

Mr. Bryan James Peacock, LPC is a Mental Health Counselor in Wauwatosa, Wisconsin. Qualified in 2004, 22 years ago. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

11904 W North Ave Ste # 110
Wauwatosa, WI 53226-2062
Phone: (414) 248-4347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3957-125 (WI)

Record details

NPI number1780819797
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMay 19, 2009
Last updated in NPPESMay 19, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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