Jerry Sample, CADC
NPI 1508806001 · Addiction (Substance Use Disorder) Counselor · La Crosse, WI
Jerry Sample, CADC is a Addiction (Substance Use Disorder) Counselor provider in La Crosse, WI (NPI 1508806001).
Provider details
- NPI number
- 1508806001
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CADC
- Sex
- Male
- Sole proprietor
- No
- License
- 11750 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Sample's NPI number?
- Jerry Sample's National Provider Identifier (NPI) is 1508806001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Sample's specialty?
- Jerry Sample is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jerry Sample located?
- Jerry Sample's practice location on file with NPPES is 1910 South Ave, La Crosse, WI 54601-5467.
- What is Jerry Sample's phone number?
- The practice phone number listed in the NPPES registry for Jerry Sample is (608) 782-7300.
- Is Jerry Sample's NPI active?
- Yes — Jerry Sample's NPI (1508806001) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.