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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AUDRA LAURELLE JACKSON SAC-IT
NPI 1679471171
Counselor - Addiction (Substance Use Disorder) in Friendship, WI

Active since October 27, 2026
108 E NORTH ST, FRIENDSHIP, WI 53934(608) 339-4505 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Audra Laurelle Jackson Sac-it NPPES

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

AUDRA LAURELLE JACKSON SAC-IT (NPI 1679471171) is an individual addiction (substance use disorder) provider in Friendship, Wisconsin, licensed in Wisconsin (21272-130) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1679471171
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAUDRA LAURELLE JACKSONCredential: SAC-IT
Location Address108 E NORTH STFriendship, WI 53934-9422
Mailing Address108 E North StFriendship, WI 53934-9422 · (608) 339-4505
Phone(608) 339-4505
Sole ProprietorNo
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1679471171 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 · 21272-130
108 E NORTH ST, Friendship, WI 53934
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Other Providers at the Same Location NPPES 19

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

ARTHUR THOMAS FOSTER SR. LMFT, SACIT
Marriage & Family Therapist
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4505
ASHLEY SCHLACHTER LPC-IT
Counselor (Professional)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4387
COUNTY OF ADAMS
Counselor (Mental Health)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4505
MR. MARK CHRISTOPHER ROSSANO M.S.
Counselor (Mental Health)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4505
TIENA N JOHNSON
Counselor (Professional)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4505
THOMAS L CHARLES MSW, LCSW
Counselor (Mental Health)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4511
MEAGAN LYNN GRABARSKI MPSW
Social Worker (Clinical)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 434-0022
TREVOR J MEYER LPC-IT
Counselor (Professional)
108 E NORTH ST
FRIENDSHIP, WI 53934
Adams County (608) 339-4505

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 Audra Jackson's NPI number?

The NPI number for Audra Jackson is 1679471171. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Audra Jackson located?

Audra Jackson practices at 108 E North St, Friendship, WI 53934. The listed phone number is (608) 339-4505.

What is Audra 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 Audra Jackson was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.