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MR. SHAWN A JACKSON SAC-IT
NPI 1487922837
Counselor - Addiction (Substance Use Disorder) in Mequon, WI

Active since December 13, 2011
10532 N. PORT WASHINGTON RD., MEQUON, WI 53092(262) 242-3810(262) 242-3816 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Shawn A Jackson Sac-it NPPES

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

MR. SHAWN A JACKSON SAC-IT (NPI 1487922837) is an individual addiction (substance use disorder) provider in Mequon, Wisconsin, licensed in Wisconsin (16299-130) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1487922837
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SHAWN A JACKSONCredential: SAC-IT
Location Address10532 N. PORT WASHINGTON RD.Mequon, WI 53092
Mailing Address10532 N Port Washington RdMequon, WI 53092-5563 · (262) 242-3810 · Fax (262) 242-3816
Phone(262) 242-3810
Fax(262) 242-3816
Sole ProprietorNo
Enumeration DateDecember 13, 2011
Last NPPES UpdateJanuary 11, 2013
✔ NPI 1487922837 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 · 16299-130
10532 N. PORT WASHINGTON RD., Mequon, WI 53092
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Other Providers at the Same Location NPPES

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

MR. COREY F GARBER LPC, SAC-T
Counselor
10532 N. PORT WASHINGTON RD., SUITE 1B
MEQUON, WI 53092
Ozaukee County (262) 242-3810

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 Shawn Jackson's NPI number?

The NPI number for Shawn Jackson is 1487922837. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Shawn Jackson located?

Shawn Jackson practices at 10532 N. Port Washington Rd., Mequon, WI 53092. The listed phone number is (262) 242-3810.

What is Shawn 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 Shawn Jackson was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.