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

Jan Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871535047

Jan Jackson is an Addiction (Substance Use Disorder) Counselor in Sun Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1460 W Main St Ste 6
Sun Prairie, WI 53590-1846
Phone: (608) 837-4814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1315 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2519 (WI)

Record details

NPI number1871535047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 13, 2026
Mailing address753 County Rd N, Stoughton, WI 53589-4237

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