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MR. JASEN ALAN EBERHARDT SAC-IT
NPI 1376021782
Counselor - Addiction (Substance Use Disorder) in Waukesha, WI

Active since July 30, 2018
223 WISCONSIN AVE STE B, WAUKESHA, WI 53186(262) 701-7257 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jasen Alan Eberhardt Sac-it NPPES

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

MR. JASEN ALAN EBERHARDT SAC-IT (NPI 1376021782) is an individual addiction (substance use disorder) provider in Waukesha, Wisconsin, licensed in Wisconsin (18552-130) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1376021782
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JASEN ALAN EBERHARDTCredential: SAC-IT
Location Address223 WISCONSIN AVE STE BWaukesha, WI 53186-4968
Mailing Address223 Wisconsin Ave Ste BWaukesha, WI 53186-4968 · (262) 701-7257
Phone(262) 701-7257
Sole ProprietorNo
Enumeration DateJuly 30, 2018
✔ NPI 1376021782 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 · 18552-130
223 WISCONSIN AVE STE B, Waukesha, WI 53186
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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 Jasen Eberhardt's NPI number?

The NPI number for Jasen Eberhardt is 1376021782. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Jasen Eberhardt located?

Jasen Eberhardt practices at 223 Wisconsin Ave Ste B, Waukesha, WI 53186. The listed phone number is (262) 701-7257.

What is Jasen Eberhardt'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 Jasen Eberhardt was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.