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MARSHA DETTLOFF
NPI 1912433087
Counselor in New Brighton, MN

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112(651) 628-9566(651) 628-0411 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2019, May 10, 2017 (2 updates tracked since 2017).

About Marsha Dettloff NPPES

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

MARSHA DETTLOFF (NPI 1912433087) is an individual counselor in New Brighton, Minnesota and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1912433087
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARSHA DETTLOFF
Location Address1900 SILVER LAKE RD NWNew Brighton, MN 55112-1786
Mailing Address1900 Silver Lake Rd NwNew Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 628-9566
Fax(651) 628-0411
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 10, 2017
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1912433087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1900 SILVER LAKE RD NW, New Brighton, MN 55112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Marsha Dettloff 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 ID5991157869
PECOS Enrollment IDI20240116002723
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 20

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

BETHANY GAVIC MSW, LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
JENNIFER PERRI
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
NATHAN HOCKERT
Physician Assistant (Medical)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (165) 162-8956
JACK LESLIE HINRICHS MA, LMFT
Marriage & Family Therapist
1900 SILVER LAKE RD NW, SUITE110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KATHLEEN ANN SPIRY LICSW
Social Worker (Clinical)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
KRISTEN MCLESKEY
Counselor (Mental Health)
1900 SILVER LAKE RD NW, SUITE 110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566
AMANDA LOUISE WEGNER BS
Counselor (Mental Health)
1900 SILVER LAKE RD NW
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9556
DAVID KEARN
Psychologist (Clinical)
1900 SILVER LAKE RD NW, #110
NEW BRIGHTON, MN 55112
Ramsey County (651) 628-9566

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 Marsha Dettloff's NPI number?

The NPI number for Marsha Dettloff is 1912433087. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Marsha Dettloff located?

Marsha Dettloff practices at 1900 Silver Lake Rd NW, New Brighton, MN 55112. The listed phone number is (651) 628-9566.

What is Marsha Dettloff's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Marsha Dettloff enrolled in Medicare?

Yes. Marsha Dettloff 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 Marsha Dettloff accept?

Health plans from HealthPartners list Marsha Dettloff 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 Marsha Dettloff was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.