Jackie M Morter, CSAC, APSW, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1011 N 8TH St
Sheboygan, WI 53081-4006

Phone

(920) 459-6400

Fax

(920) 459-4353

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Jackie M Tollard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1396869640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-6400",
            "fax_number": "920-459-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-6400",
            "fax_number": "920-459-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTER",
        "first_name": "JACKIE",
        "middle_name": "M",
        "credential": "CSAC, APSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11671-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "TOLLARD",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cooper Mocarski
• Moments Hospice of Sheboygan LLC
• Victoria Moore, MS, CCC-SLP
• Kimberly Moorer
• Kaylene Morado
• Martha L Mosley, LMFT
• Sara D Mosser, ATC, LAT, MBA
• Most Sacred Heart of Jesus Cardiology and Valvular Institute
• Debra L Moths, LCSW
• Jonathan V Moulton, MD

• Mental Health Counselor in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.