Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417317751 Individual Practitioner Female Practitioner

Lisa Dedrick

Counselor - Professional • Montello, WI

Professional Overview & Biography Verified Profile Summary

Lisa Dedrick is a registered healthcare professional specializing in Counselor - Professional in Montello, WI. Practice services are available at 480 UNDERWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 Underwood Ave

Montello, WI 539499248

Telephone 6082973181
Associated Practice Facility / Clinic
🏢 County Of Marquette Facility NPI 1306841317

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Montello, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Montello, WI (4511 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 2416-226

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Tiffany Schmit , CSAC

Counselor - Addiction (Substance Use Disorder)

NPI 1003245168

Certified Substance Abuse Counselor

James Webb , CSAC, ICS

Counselor - Addiction (Substance Use Disorder)

NPI 1194911644

Certified Substance Abuse Counselor, ICS

Clint Starks , SACIT, LPCIT

Counselor - Professional

NPI 1437415486
NPI 1538369350

Registered Nurse, Certified Substance Abuse Counselor, ICS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2016

Registered at 480 UNDERWOOD AVE, MONTELLO, WI 539499248 (Tel: 6082973181)

📍
Updated Business Mailing Address May 09, 2016

Registered at 480 UNDERWOOD AVE, MONTELLO, WI 539499248 (Tel: 6082973181)

👤
Provider Name / Credentials Updated May 09, 2016

Recorded as LISA DEDRICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Counselor (License #2416-226 in WI)

🟢
Initial NPI Registration & Enumeration February 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417317751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 29, 2016
Last Update: May 09, 2016
Sole Proprietor: No

Mailing Address

480 Underwood Ave

Montello, WI 539499248

Phone: 6082973181

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.