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

Jackie K. Richter, CSAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447511183

Jackie K. Richter, CSAC is a Mental Health Counselor in LA Crosse, Wisconsin. Qualified in 2011, 15 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

212 11th St S
LA Crosse, WI 54601-4116
Phone: (608) 392-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5179 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15750 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 5179 (WI)

Record details

NPI number1447511183
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSAC
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in LA Crosse