IndividualActive
Dedra Buteyn, LPC-IT
NPI 1104689736 · Professional Counselor · Appleton, WI
Dedra Buteyn, LPC-IT is a Professional Counselor provider in Appleton, WI (NPI 1104689736).
Provider details
- NPI number
- 1104689736
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC-IT
- Sex
- Female
- Sole proprietor
- No
- License
- 7067-226 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
626 E Longview Dr
Appleton, WI 54911-2130
Phone: (920) 215-0107
Street-level locationGet directions
Mailing address
W5457 Red Clover Trl
Appleton, WI 54915-7291
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Dedra Buteyn's NPI number?
- Dedra Buteyn's National Provider Identifier (NPI) is 1104689736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dedra Buteyn's specialty?
- Dedra Buteyn is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Dedra Buteyn located?
- Dedra Buteyn's practice location on file with NPPES is 626 E Longview Dr, Appleton, WI 54911-2130.
- What is Dedra Buteyn's phone number?
- The practice phone number listed in the NPPES registry for Dedra Buteyn is (920) 215-0107.
- Is Dedra Buteyn's NPI active?
- Yes — Dedra Buteyn's NPI (1104689736) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.