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Pure Support LLC

NPI 1578271151ActiveOrganization· Peer Specialist· Delavan, WI

Peer Specialist in Delavan, Wisconsin, registered in NPPES in November 2022. The authorized official on file is Mitchell Sherman, CPS, Member, Manager, Founder.

Overview

NPI1578271151
StatusActive
Entity typeOrganization
NPI issuedNov 11, 2022
Last updated in NPPESDec 16, 2022
Certified by providerDec 16, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Peer Specialist Primary175T00000X——
Health & Wellness Coach171400000X——
Community Health Worker172V00000X——
Specialist174400000X——
Rehabilitation Practitioner225400000X——
Recreation Therapist225800000X——
Adult Companion372600000X——
Day Training/Habilitation Specialist373H00000X——
Doula374J00000X——
Religious Nonmedical Practitioner374K00000X——
Student in an Organized Health Care Education/Training Program390200000X——
Prevention Professional405300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Peer Specialist providers in Delavan

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