PURE SUPPORT
NPI 1578271151
Peer Specialist in Delavan, WI
NPI Status: Active since November 11, 2022
Contact Information
3770 COUNTY ROAD F N
DELAVAN, WI
ZIP 53115
Phone: (262) 203-0247
NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Peer Specialist
About PURE SUPPORT
This page provides the complete NPI Profile along with additional information for Pure Support, a provider established in Delavan, Wisconsin operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1578271151 assigned on November 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pure Support operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Pure Support. The authorized official of this NPI record is Mitchell Sherman Cps (Member, Manager, Founder)
- NPI
- 1578271151
- Provider Legal Name
- PURE SUPPORT LLC
- Other Organization Name
- PURE SUPPORT
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3770 COUNTY ROAD F N DELAVAN, WI 53115
- Location Phone
- (262) 203-0247
- Mailing Address
- 3770 COUNTY ROAD F N DELAVAN, WI 53115
- Mailing Phone
- (262) 203-0247
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2022
- Last Update Date
- 12-16-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171400000X | Other Service Providers | Health and Wellness Coach | |
| 2 | 172V00000X | Other Service Providers | Community Health Worker | |
| 3 | 174400000X | Other Service Providers | Specialist | |
| 4 | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | |
| 5 | 225800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Recreation Therapist | |
| 6 | 372600000X | Nursing Service Related Providers | Adult Companion | |
| 7 | 373H00000X | Nursing Service Related Providers | Day Training/Habilitation Specialist | |
| 8 | 374J00000X | Nursing Service Related Providers | Doula | |
| 9 | 374K00000X | Nursing Service Related Providers | Religious Nonmedical Practitioner | |
| 10 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | |
| 11 | 405300000X | Other Service Providers | Prevention Professional |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578271151, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578271151, enumerated as an "organization" on November 11, 2022.
The provider is located at 3770 COUNTY ROAD F N DELAVAN, WI 53115 and the phone number is (262) 203-0247.
Peer Specialist with taxonomy code 175T00000X.
