CHARLESETTA JACKSON SAC
NPI 1922273879
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI
NPI Status: Active since April 22, 2008
Contact Information
4757 N 76TH ST
MILWAUKEE, WI
ZIP 53218
Phone: (414) 358-4171
Fax: (414) 358-5005
- Individual
- Female
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
About CHARLESETTA JACKSON
This page provides the complete NPI Profile along with additional information for Charlesetta Jackson, a provider established in Milwaukee, Wisconsin with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1922273879 assigned on April 2008. The practitioner's primary taxonomy code is 101YA0400X with license number 15371-131 (WI). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1922273879
- Provider Name
- CHARLESETTA JACKSON SAC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4757 N 76TH ST MILWAUKEE, WI 53218
- Location Phone
- (414) 358-4171
- Location Fax
- (414) 358-5005
- Mailing Address
- 4757 N 76TH ST MILWAUKEE, WI 53218
- Mailing Phone
- (414) 358-4171
- Mailing Fax
- (414) 358-5005
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-22-2008
- Last Update Date
- 04-22-2008
- Code Navigator
A Substance Abuse or Addiction Counselor like Charlesetta Jackson advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 15371-131
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39178900-31/048 | MEDICAID (05) | WI | |
| 15371-131 | OTHER (01) | WI | DEPARTMENT OF REGULATION & LICENSING |
Reviews for CHARLESETTA JACKSON SAC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 2 | 7 | 3 | 8 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 4 | 7 | 6 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 4 + 7 + 6 + 8 + 1 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1922273879 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932146214 | M. KAREN KEGELMEYER MS, LPCC AND LPC Individual | Counselor | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 810-7790 |
| 1891968962 | MS. JUDITH MARY HICKEY MSW LCSW Individual | Social Worker (Clinical) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4167 |
| 1346413341 | MRS. KATHLEEN R TOMPKINS APSW OT Individual | Social Worker (Clinical) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4173 |
| 1033384391 | ST CHARLES YOUTH & FAMILY SERVICES INC Organization | Community/Behavioral Health | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 476-3710 |
| 1376718320 | ST. CHARLES Organization | Community/Behavioral Health | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4145 |
| 1316113772 | ST. CHARLES YOUTH & FAMILY SERVICES, INC. Organization | Case Management | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 476-3710 |
| 1518133958 | MRS. LATOYA M SIMS S A C Individual | Counselor (Addiction (Substance Use Disorder)) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 778-4211 |
| 1629245725 | MS. KATHERINE ANNA DIBB SAC Individual | Counselor (Addiction (Substance Use Disorder)) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-5381 |
| 1093941262 | ST. CHARLES YOUTH & FAMILY SERVICES Organization | Case Management | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4173 |
| 1720470065 | SAMUEL KREBSBACH APSW, SAC - IT Individual | Social Worker | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 476-3710 |
| 1710351796 | CAROLYN SIMS MSW Individual | Counselor (Professional) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4151 |
| 1366817926 | MS. CARLY RAE MAROHL MSW, APSW, SAC-IT Individual | Social Worker | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4167 |
| 1134691264 | GEORGETTE EUGENIA WELLS Individual | Counselor (Mental Health) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 358-4145 |
| 1649951708 | VIN BAKER RECOVERY LLC Organization | Clinic/Center (Methadone) | 4757 N 76TH ST MILWAUKEE, WI 53218 (866) 827-7342 |
| 1164255006 | PAMELA MIMS Individual | Counselor (Addiction (Substance Use Disorder)) | 4757 N 76TH ST MILWAUKEE, WI 53218 (414) 539-6999 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922273879, enumerated in the NPI registry as an "individual" on April 22, 2008
The provider is located at 4757 N 76th St Milwaukee, Wi 53218 and the phone number is (414) 358-4171
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 22, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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