DR. LAWRENCE ELDEN DETTWEILER PH.D.
NPI 1407979990
Counselor - Mental Health in Santa Fe, NM
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lawrence Dettweiler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Fe, NM 87501
- Reassigned Medicare billing, New Mexico enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Lawrence Dettweiler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Dettweiler reassigns Medicare benefits to Labyrinth LLC (Santa Fe, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Dettweiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Lawrence Elden Dettweiler, PH.D. · NPI 1407979990
Mental Health provider in Santa Fe, New Mexico. Individual provider, active in the CMS NPPES registry since April 9, 2007.
## Identity
- **NPI:** 1407979990 (Entity type: Individual)
- **Enumerated:** April 9, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 4706 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 453 CERRILLOS RD, Santa Fe, NM 87501-3784
- **Phone:** (505) 603-0641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Labyrinth LLC (NPI 1972626463, Santa Fe, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1971
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 12452777 (NM); Other VNM01398 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1407979990) · Data from the CMS NPPES public registry.