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SCENA DETHLEFS LICSW
NPI 1669023693
Counselor - Mental Health in Marshall, MN

Active since September 20, 2019PECOS Enrolled
1212 E COLLEGE DR, MARSHALL, MN 56258(507) 532-3236 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scena Dethlefs Licsw NPPES

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

SCENA DETHLEFS LICSW (NPI 1669023693) is an individual mental health provider in Marshall, Minnesota and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669023693
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSCENA DETHLEFSCredential: LICSW
Location Address1212 E COLLEGE DRMarshall, MN 56258-2010
Mailing Address1212 E College DrMarshall, MN 56258-2010
Phone(507) 532-3236
Sole ProprietorNo
Enumeration DateSeptember 20, 2019
✔ NPI 1669023693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1212 E COLLEGE DR, Marshall, MN 56258
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scena Dethlefs Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Scena Dethlefs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Mental Health Center, Inc.
0.4 mi
Mental Health
1212 E COLLEGE DR
Marshall, MN 56258
  • Reassigned Medicare billing, Minnesota enrollment
  • 47 clinicians in this Medicare group
NPI 1982613311 (507) 532-3607
Avera Granite Falls
27 mi
Family Medicine
345 10TH AVE
Granite Falls, MN 56241
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1700429610 (Minnesota)
  • 82 clinicians in this Medicare group
NPI 1700429644 (320) 564-3111

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 20

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

ABLAVI SABOUTEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (612) 616-6227
KRISTIN HOPPE LPCC
Counselor (Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 532-3236
KATRINA NELSON
Counselor (Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 532-3236
MEGAN BENEDICT LICSW
Counselor (Mental Health)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 337-4926
MRS. ERIN LEA KLETSCHER RN PMHNP
Registered Nurse
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 532-3236
MS. KAREN MARIE JIROVEC LICSW
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 532-3236
MICHAEL A LARSON LICSW
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 532-3236
MR. BRIAN DAVID BOERSMA MSW, LICSW
Social Worker (Clinical)
1212 E COLLEGE DR
MARSHALL, MN 56258
Lyon County (507) 532-3236

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 Scena Dethlefs's NPI number?

The NPI number for Scena Dethlefs is 1669023693. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Scena Dethlefs located?

Scena Dethlefs practices at 1212 E College Dr, Marshall, MN 56258. The listed phone number is (507) 532-3236.

What is Scena Dethlefs's specialty?

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

Is Scena Dethlefs enrolled in Medicare?

Yes. Scena Dethlefs is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scena Dethlefs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scena Dethlefs reassigns Medicare benefits to 2 organizations: Western Mental Health Center, Inc. (Marshall, MN) and Avera Granite Falls (Granite Falls, MN). Each 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 Scena Dethlefs'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 Scena Dethlefs was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.