DR. LAWRENCE ELDEN DETTWEILER PH.D.
NPI 1407979990
Counselor - Mental Health in Santa Fe, NM

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
453 CERRILLOS RD, SANTA FE, NM 87501(505) 603-0641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lawrence Elden Dettweiler Ph.d. NPPES

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

DR. LAWRENCE ELDEN DETTWEILER PH.D. (NPI 1407979990) is an individual mental health provider in Santa Fe, New Mexico, licensed in New Mexico (4706) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1407979990
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. LAWRENCE ELDEN DETTWEILERCredential: PH.D.
Location Address453 CERRILLOS RDSanta Fe, NM 87501-3784
Mailing Address14 Melado DrSanta Fe, NM 87508-2254 · (505) 603-0641
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateApril 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1407979990 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 NM · 4706
453 CERRILLOS RD, Santa Fe, NM 87501

Other Identifiers 2

Medicaid12452777NM
OtherVNM01398NM · Value Options

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lawrence Elden Dettweiler Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224567524
PECOS Enrollment IDI20250131001622
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
453 CERRILLOS RD
SANTA FE, NM 87501
Psychologist (Health Service)
453 CERRILLOS RD, SUITE E
SANTA FE, NM 87501
Psychologist (Clinical)
453 CERRILLOS RD
SANTA FE, NM 87501
Psychologist (Clinical)
453 CERRILLOS RD
SANTA FE, NM 87501
Counselor (Mental Health)
453 CERRILLOS RD
SANTA FE, NM 87501
Social Worker (Clinical)
453 CERRILLOS RD, SUITE E
SANTA FE, NM 87501

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 Lawrence Dettweiler's NPI number?

The NPI number for Lawrence Dettweiler is 1407979990. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Lawrence Dettweiler located?

Lawrence Dettweiler practices at 453 Cerrillos Rd, Santa Fe, NM 87501. The listed phone number is (505) 603-0641.

What is Lawrence Dettweiler's specialty?

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

Is Lawrence Dettweiler enrolled in Medicare?

Yes. Lawrence Dettweiler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lawrence Dettweiler accept?

Health plans from Providence Health Plan list Lawrence Dettweiler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Dettweiler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.