TRACY RENDERMAN SAC, IDP
NPI 1205212453
Counselor - Addiction (Substance Use Disorder) in Wisconsin Rapids, WI

Active since August 10, 2015
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494(715) 421-8869 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Renderman Sac, Idp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY RENDERMAN SAC, IDP (NPI 1205212453) is an individual addiction (substance use disorder) provider in Wisconsin Rapids, Wisconsin, licensed in (101YA0400X) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1205212453
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACY RENDERMANCredential: SAC, IDP
Location Address2611 12TH ST SWisconsin Rapids, WI 54494-6445
Mailing Address2611 12th St SWisconsin Rapids, WI 54494-6445 · (715) 694-2188
Sole ProprietorYes
Enumeration DateAugust 10, 2015
NPI 1205212453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed · 101YA0400X
2611 12TH ST S, Wisconsin Rapids, WI 54494

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Psychiatry & Neurology (Psychiatry)
2611 12TH ST S, WOOD COUNTY UNIFIED SERVICES
WISCONSIN RAPIDS, WI 54494
Registered Nurse
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Counselor (Professional)
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Social Worker
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494
Counselor (Addiction (Substance Use Disorder))
2611 12TH ST S, MENTAL HEALTH AODA CLINIC
WISCONSIN RAPIDS, WI 54494
Registered Nurse
2611 12TH ST S
WISCONSIN RAPIDS, WI 54494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Renderman's NPI number?

The NPI number for Tracy Renderman is 1205212453. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Tracy Renderman located?

Tracy Renderman practices at 2611 12th St S, Wisconsin Rapids, WI 54494. The listed phone number is (715) 421-8869.

What is Tracy Renderman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracy Renderman was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.