MAKENA LIZABETH DETLOR LPC-IT
NPI 1336845817
Counselor - Mental Health in Wisconsin Rapids, WI

Q: What is Makena Detlor's NPI number?

The NPI number for Makena Detlor is 1336845817. It was assigned to this individual provider in the NPPES registry on February 6, 2023. The provider is also known as Makena Lizabeth Guse.

Q: What is Makena Detlor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Makena Detlor was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 06, 2023

320 W GRAND AVE STE 304A, WISCONSIN RAPIDS, WI 54495(715) 424-6960 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Makena Lizabeth Detlor Lpc-it NPPES

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

MAKENA LIZABETH DETLOR LPC-IT (NPI 1336845817) is an individual mental health provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (7240-226) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1336845817

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMAKENA LIZABETH DETLORCredential: LPC-IT

Location Address320 W GRAND AVE STE 304AWisconsin Rapids, WI 54495-2781

Mailing Address443 Strodman AveWisconsin Rapids, WI 54494-5934 · (608) 338-3335

Phone(715) 424-6960

Sole ProprietorYes

Enumeration DateFebruary 6, 2023

NPPES CertifiedFebruary 6, 2023

✔ NPI 1336845817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 7240-226

320 W GRAND AVE STE 304A, Wisconsin Rapids, WI 54495

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Other Names 1

Former Name (1)Makena Lizabeth Guse

Other Providers at the Same Location NPPES 4

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

KATHLEEN JOY DUTTER

Counselor (Professional)

320 W GRAND AVE STE 304A
WISCONSIN RAPIDS, WI 54495

Wood County (715) 424-6960

MR. ROGER DALE PAGEL MSE, LCSW

Social Worker (Clinical)

320 W GRAND AVE STE 304A
WISCONSIN RAPIDS, WI 54495

Wood County (715) 424-6960

JESSA BRYNN QUICK VOELKER ED.S.

Counselor (Mental Health)

320 W GRAND AVE STE 304A
WISCONSIN RAPIDS, WI 54495

Wood County (715) 424-6960

ERIN JOHNSON LPC-IT

Counselor (Mental Health)

320 W GRAND AVE STE 304A
WISCONSIN RAPIDS, WI 54495

Wood County (715) 424-6960

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 Makena Detlor's NPI number?

The NPI number for Makena Detlor is 1336845817. It was assigned to this individual provider in the NPPES registry on February 6, 2023. The provider is also known as Makena Lizabeth Guse.

Where is Makena Detlor located?

Makena Detlor practices at 320 W Grand Ave Ste 304A, Wisconsin Rapids, WI 54495. The listed phone number is (715) 424-6960.

What is Makena Detlor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Makena Detlor was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.