JENNA MARIE JACKSON SAC-IT
NPI 1003628603
Counselor - Addiction (Substance Use Disorder) in Waukesha, WI

Active since January 22, 2025
1501 AIRPORT RD, WAUKESHA, WI 53188(262) 548-7666 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Marie Jackson Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA MARIE JACKSON SAC-IT (NPI 1003628603) is an individual addiction (substance use disorder) provider in Waukesha, Wisconsin, licensed in Wisconsin (20708-130) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1003628603
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNA MARIE JACKSONCredential: SAC-IT
Location Address1501 AIRPORT RDWaukesha, WI 53188-2461
Mailing AddressN961 Fox Run Ln Apt 5Oconomowoc, WI 53066-9587 · (262) 370-1041
Sole ProprietorNo
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1003628603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 20708-130
1501 AIRPORT RD, Waukesha, WI 53188

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1501 AIRPORT RD
WAUKESHA, WI 53188
Behavior Technician
1501 AIRPORT RD
WAUKESHA, WI 53188
Registered Nurse
1501 AIRPORT RD
WAUKESHA, WI 53188
Registered Nurse
1501 AIRPORT RD
WAUKESHA, WI 53188
Case Manager/Care Coordinator
1501 AIRPORT RD
WAUKESHA, WI 53188
Counselor (Professional)
1501 AIRPORT RD
WAUKESHA, WI 53188
Registered Nurse
1501 AIRPORT RD
WAUKESHA, WI 53188
Behavior Technician
1501 AIRPORT RD
WAUKESHA, WI 53188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Jackson's NPI number?

The NPI number for Jenna Jackson is 1003628603. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Jenna Jackson located?

Jenna Jackson practices at 1501 Airport Rd, Waukesha, WI 53188. The listed phone number is (262) 548-7666.

What is Jenna Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jenna Jackson was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.