IndividualActive
Grady Dedrick, LPC, SAC-IT, CCAT
NPI 1124686241 · Professional Counselor · New Lisbon, WI
Provider details
- NPI number
- 1124686241
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, SAC-IT, CCAT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
304 Bickford St
New Lisbon, WI 53950-1533
Phone: (608) 562-3976
Fax: (608) 562-3975
Street-level locationGet directions
Mailing address
304 Bickford St
New Lisbon, WI 53950-1533
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.