Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marsha Dettloff

Individual provider Counselor · NPI 1912433087

Marsha Dettloff is a Mental Health Counselor in New Brighton, Minnesota. Qualified in 2009, 17 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
17
In the registry since
2017

Practice location Address checks out

1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
Phone: (651) 628-9566
Fax: (651) 628-0411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1912433087
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESAugust 13, 2019
Mailing address1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in New Brighton