IndividualActive
Jennifer Dietrich, SAC-IT
NPI 1326286147 · Addiction (Substance Use Disorder) Counselor · Waukesha, WI
Provider details
- NPI number
- 1326286147
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SAC-IT
- Sex
- Female
- Sole proprietor
- No
- License
- 13183-130 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2422 N Grandview Blvd
Waukesha, WI 53188-6105
Phone: (262) 549-6600
Fax: (262) 549-6698
Street-level locationGet directions
Mailing address
2422 N Grandview Blvd
Waukesha, WI 53188
Registry dates
- Enumerated
- 2009-02-02
- Last updated
- 2009-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.