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

Tracy Renderman, SAC, IDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205212453

Tracy Renderman, SAC, IDP is an Addiction (Substance Use Disorder) Counselor in Wisconsin Rapids, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2611 12th St S
Wisconsin Rapids, WI 54494-6445
Phone: (715) 421-8869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 101YA0400X

Record details

NPI number1205212453
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC , IDP
Sole proprietorYes
NPI enumeratedAugust 10, 2015
Last updated in NPPESAugust 10, 2015
Mailing address2611 12th St S, Wisconsin Rapids, WI 54494-6445

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