TRISTAN ALBERT ERTMAN SAC-IT
NPI 1780262840
Counselor - Addiction (Substance Use Disorder) in Kiel, WI

Q: What is Tristan Ertman's NPI number?

The NPI number for Tristan Ertman is 1780262840. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Tristan Ertman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tristan Ertman was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 31, 2021

530 STATE ROAD 67, KIEL, WI 53042(920) 894-1374(920) 894-1373 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tristan Albert Ertman Sac-it NPPES

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

TRISTAN ALBERT ERTMAN SAC-IT (NPI 1780262840) is an individual addiction (substance use disorder) provider in Kiel, Wisconsin, licensed in Wisconsin (19029-130) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1780262840

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameTRISTAN ALBERT ERTMANCredential: SAC-IT

Location Address530 STATE ROAD 67Kiel, WI 53042-1650

Mailing Address530 State Road 67Kiel, WI 53042-1650 · (920) 894-1374 · Fax (920) 894-1373

Phone(920) 894-1374

Fax(920) 894-1373

Sole ProprietorYes

Enumeration DateMarch 31, 2021

NPPES CertifiedMarch 25, 2021

✔ NPI 1780262840 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 · 19029-130

530 STATE ROAD 67, Kiel, WI 53042

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Other Identifiers 1

Other46-1566338WI · Pathways To A Better Life

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 Tristan Ertman's NPI number?

The NPI number for Tristan Ertman is 1780262840. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Tristan Ertman located?

Tristan Ertman practices at 530 State Road 67, Kiel, WI 53042. The listed phone number is (920) 894-1374.

What is Tristan Ertman'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 Tristan Ertman was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.