COUNTY OF EL DORADO (NPI# 1063615490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063615490 |
| Entity Type | Organization |
| Organization Name | COUNTY OF EL DORADO |
| Other Organization Name | ALCOHOL AND DRUG PROGRAM-SOUTH LAKE TAHOE |
| Practice Address |
1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305 |
| Mailing Address |
768 Pleasant Valley Rd Ste 201 Diamond Springs CA 95619-9260 |
| Practice Telephone | 5306216207 |
| Mailing Telephone | 5306216146 |
| Mailing Fax Number | 5302952596 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | SALINA MARIE DRENNAN (SUDS PROGRAM ADMINISTRATOR/MANAGER) |
| Authorized Official Telephone | 5306216207 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF EL DORADO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Alcohol and Drug Program-South Lake Tahoe | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1558469296 | County of El Dorado | Ambulance | 2900 Fairlane Ct, Placerville, CA 95667 | 2006-09-20 |
| 1548881634 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2020-04-30 |
| 1720505779 | County of El Dorado | Community/Behavioral Health | 3974 Durock Rd Ste 205, Shingle Springs, CA 95682-8568 | 2017-08-29 |
| 1255534582 | County of El Dorado | Community/Behavioral Health | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2007-06-06 |
| 1427272459 | County of El Dorado | Clinic/Center | 931 Spring St, Placerville, CA 95667-4543 | 2007-04-12 |
| 1972630549 | County of El Dorado | Community/Behavioral Health | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF EL DORADO | 931 Spring St, Placerville, CA 95667-4543 |
| Street Address |
1900 LAKE TAHOE BLVD |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-6305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942304365 | Sabrina Owen | Marriage & Family Therapist | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 | 2006-09-08 |
| 1477169605 | Keith John Tanenbaum | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2020-09-22 |
| 1316578701 | Nicole Marie Vandehurst | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2020-02-04 |
| 1336796838 | Jacob Daniel Rodgers | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2019-08-20 |
| 1962057398 | Anna Kathryn Lee | Marriage & Family Therapist | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2019-08-02 |
| 1629583802 | Jake Diaz | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-12-09 |
| 1467965111 | Shelby Elizabeth Sgamma | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-11-15 |
| 1558890699 | Cheryl Marie Frawley | Social Worker | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-06-11 |
| 1124557509 | Haley Catherine Turner | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-06-08 |
| 1750810289 | Michaela Murphy | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932527330 | Sierra Child & Family Services | Community/Behavioral Health | 2580 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-7727 | 2014-04-02 |
| 1801188826 | Tahoe Youth & Family Services | Community/Behavioral Health | 1735 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-3718 | 2011-05-10 |
| 1851574941 | Family Resource Center | Community/Behavioral Health | 3501 Spruce Ave, Suite B, South Lake Tahoe, CA 96150-8317 | 2007-12-11 |
| 1346443223 | Sierra Recovery Center | Community/Behavioral Health | 2677 Reaves St, South Lake Tahoe, CA 96150-3529 | 2007-06-07 |
| 1568665446 | Sierra Recovery Center | Community/Behavioral Health | 921 Macinaw Rd # 4, South Lake Tahoe, CA 96150-3525 | 2007-06-07 |
| 1477756351 | Sierra Recovery Center | Community/Behavioral Health | 921 Macinaw Rd Apt 1, South Lake Tahoe, CA 96150-3525 | 2007-06-07 |
| 1336352053 | Sierra Recovery Center | Community/Behavioral Health | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2007-05-08 |
| 1790805216 | Tahoe Youth and Family Services | Community/Behavioral Health | 1021 Fremont Avenue, South Lake Tahoe, CA 96150-8136 | 2007-03-29 |
| 1235409178 | Tahoe Turning Point, Inc. | Community/Behavioral Health | 2494 Lake Tahoe Blvd, B5, South Lake Tahoe, CA 96150-7719 | 2012-01-10 |
| 1811174329 | El Dorado County Mental Health | Community/Behavioral Health | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2008-01-28 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on COUNTY OF EL DORADO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.