Raegan Dettlaff, LPC
NPI 1639870439 · Professional Counselor · Lebanon, MO
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raegan Dettlaff, LPC is a Professional Counselor provider in Lebanon, MO (NPI 1639870439).
Provider details
- NPI number
- 1639870439
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 2025009356 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-17
- Last updated
- 2025-03-25
- Certified
- 2025-03-25
Frequently asked questions
- What is Raegan Dettlaff's NPI number?
- Raegan Dettlaff's National Provider Identifier (NPI) is 1639870439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raegan Dettlaff's specialty?
- Raegan Dettlaff is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Raegan Dettlaff located?
- Raegan Dettlaff's practice location on file with NPPES is 860 Lynn St, Lebanon, MO 65536-3810.
- What is Raegan Dettlaff's phone number?
- The practice phone number listed in the NPPES registry for Raegan Dettlaff is (844) 853-8937.
- Does Raegan Dettlaff accept Medicare?
- Raegan Dettlaff is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raegan Dettlaff's NPI active?
- Yes — Raegan Dettlaff's NPI (1639870439) is active in the NPPES registry as of the last update on 2025-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.