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

Raegan D Dettlaff, LPC

Individual provider Professional Counselor · NPI 1639870439

Raegan D Dettlaff, LPC is a Mental Health Counselor in Lebanon, Missouri. Qualified in 2022, 4 years ago. Practices with Compass Health Inc, a 320-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2023
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

860 Lynn St
Lebanon, MO 65536-3810
Phone: (844) 853-8937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2025009356 (MO)

Record details

NPI number1639870439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address1800 Community, Clinton, MO 64735-8804

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Compass Health Inc — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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