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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAN JACKSON
NPI 1871535047
Counselor - Addiction (Substance Use Disorder) in Sun Prairie, WI

Active since June 12, 2006
1460 W MAIN ST, SUITE 6, SUN PRAIRIE, WI 53590(608) 837-4814 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Jan Jackson NPPES

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

JAN JACKSON (NPI 1871535047) is an individual addiction (substance use disorder) provider in Sun Prairie, Wisconsin, licensed in Wisconsin (1315) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1871535047
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJAN JACKSON
Location Address1460 W MAIN ST, SUITE 6Sun Prairie, WI 53590-1846
Mailing Address753 County Rd NStoughton, WI 53589-4237
Phone(608) 837-4814
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1871535047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 1315
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2519 (WI)
1460 W MAIN ST, Sun Prairie, WI 53590
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Other Identifiers 1

Medicaid39118400WI

Other Providers at the Same Location NPPES 5

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

ROBERT J. ZIINO D.D.S.
Dentist (General Practice)
1460 W MAIN ST
SUN PRAIRIE, WI 53590
Dane County (608) 837-4636
L & D ENTERPRISES, INC.
Counselor (Professional)
1460 W MAIN ST, SUITE 6
SUN PRAIRIE, WI 53590
Dane County (608) 837-4814
MDC SUN PRAIRIE LLC
Dentist (General Practice)
1460 W MAIN ST
SUN PRAIRIE, WI 53590
Dane County (608) 837-4636
WESTSIDE DENTAL
Dentist (General Practice)
1460 W MAIN ST
SUN PRAIRIE, WI 53590
Dane County (608) 837-4636
MYRNA SOLGANICK
Social Worker
1460 W MAIN ST, SUITE 6
SUN PRAIRIE, WI 53590
Dane County (608) 837-4814

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 Jan Jackson's NPI number?

The NPI number for Jan Jackson is 1871535047. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jan Jackson located?

Jan Jackson practices at 1460 W Main St Suite 6, Sun Prairie, WI 53590. The listed phone number is (608) 837-4814.

What is Jan 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 Jan Jackson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.