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Marsha Dettloff

NPI 1912433087ActiveIndividual· Counselor· New Brighton, MN

Counselor with Nystrom and Associates Ltd, practicing in New Brighton, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1912433087
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 10, 2017
Last updated in NPPESAug 13, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Counselor Primary101Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (MN)

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyMental Health Counselor
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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