Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Elaine Deitrich, MS

Individual provider Counselor · NPI 1376295683

Kellie Elaine Deitrich, MS is a Mental Health Counselor in Reedsburg, Wisconsin. Qualified in 2021, 5 years ago. Practices with Sauk County, a 13-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2155 E Main St
Reedsburg, WI 53959-9440
Phone: (608) 415-9956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 5124-226 (WI)

Record details

NPI number1376295683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sauk County — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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