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

KRISTLE JACKSON
NPI 1780500892
Counselor - Professional in Green Lake, WI

Active since June 24, 2026
571 COUNTY ROAD A, GREEN LAKE, WI 54941(920) 294-4070(920) 294-4139 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristle Jackson NPPES

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

KRISTLE JACKSON (NPI 1780500892) is an individual professional provider in Green Lake, Wisconsin, licensed in Wisconsin (12345-125) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1780500892
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTLE JACKSON
Location Address571 COUNTY ROAD AGreen Lake, WI 54941-8630
Mailing Address227 N Westhaven Dr Apt X206Oshkosh, WI 54904-7689 · (920) 294-4070
Phone(920) 294-4070
Fax(920) 294-4139
Sole ProprietorNo
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1780500892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 12345-125
571 COUNTY ROAD A, Green Lake, WI 54941
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Other Providers at the Same Location NPPES 18

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

LISA ANN ROLLIN RN
Health Educator
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
LAUREN RENEE OLSON
Health Educator
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
AMY M HIGGINBOTHAM MS
Counselor (Mental Health)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
JESSICA A. BOWMAN LCSW
Social Worker (Clinical)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
ABBY NOEL VOGT
Counselor (Addiction (Substance Use Disorder))
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
TRIXIE MURPHY LCSW, SAC-IT
Social Worker (Clinical)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
SHIRLEY J. DAWSON M.D.
Psychiatry & Neurology (Psychiatry)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
COUNTY OF GREEN LAKE
Public Health or Welfare
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070

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 Kristle Jackson's NPI number?

The NPI number for Kristle Jackson is 1780500892. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Kristle Jackson located?

Kristle Jackson practices at 571 County Road A, Green Lake, WI 54941. The listed phone number is (920) 294-4070.

What is Kristle Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kristle Jackson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.