LISA B DETTELBACK MFT
NPI 1659159457
Counselor - Mental Health in Reno, NV

Active since September 21, 2023

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa B Dettelback Mft NPPES

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

LISA B DETTELBACK MFT (NPI 1659159457) is an individual mental health provider in Reno, Nevada, licensed in Nevada (4651) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1659159457
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA B DETTELBACKCredential: MFT
Location Address95 LA RUE AVEReno, NV 89509-2820
Mailing Address2307 Millville DrSparks, NV 89441-7319 · (775) 781-3760
Sole ProprietorYes
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
NPI 1659159457 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 NV · 4651
95 LA RUE AVE, Reno, NV 89509

Accepted Insurance

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.

Social Worker (Clinical)
95 LA RUE AVE
RENO, NV 89509
Social Worker (Clinical)
95 LA RUE AVE
RENO, NV 89509
Social Worker (Clinical)
95 LA RUE AVE
RENO, NV 89509
Naturopath
95 LA RUE AVE
RENO, NV 89509

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 Lisa Dettelback's NPI number?

The NPI number for Lisa Dettelback is 1659159457. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Lisa Dettelback located?

Lisa Dettelback practices at 95 La Rue Ave, Reno, NV 89509. The listed phone number is (775) 781-3760.

What is Lisa Dettelback's specialty?

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

What insurance does Lisa Dettelback accept?

Health plans from Ambetter from Arizona Complete Health list Lisa Dettelback 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 Lisa Dettelback was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.