SIERRA RECOVERY CENTER (NPI# 1336352053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336352053 |
| Entity Type | Organization |
| Organization Name | SIERRA RECOVERY CENTER |
| Practice Address |
1137 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305415190 |
| Practice Fax Number | 5305416031 |
| Mailing Telephone | 5305415190 |
| Mailing Fax Number | 5305416031 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-08-09 |
| Authorized Official Name | MS. ELIZABETH FEDOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5305415190 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 090003BN | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346443223 | Sierra Recovery Center | Community/Behavioral Health | 2677 Reaves St, South Lake Tahoe, CA 96150-3529 | 2007-06-07 |
| 1144423021 | Sierra Recovery Center | Substance Abuse Rehabilitation Facility | 921 Macinaw Rd # 3, South Lake Tahoe, CA 96150-3525 | 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 |
| 1295949451 | Sierra Recovery Center | Substance Abuse Rehabilitation Facility | 931 Macinaw Rd, South Lake Tahoe, CA 96150-3525 | 2007-05-09 |
| 1093954653 | Sierra Recovery Center | Substance Abuse Rehabilitation Facility | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2009-02-05 |
| 1346426962 | Sierra Recovery Center | Health Maintenance Organization | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2008-01-14 |
| 1780878942 | Sierra Recovery Center | Substance Abuse Rehabilitation Facility | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2007-08-30 |
| Street Address |
1137 EMERALD BAY RD |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346489549 | Michael Dominick Pardo | Counselor | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2009-02-11 |
| 1902045354 | Evan Decker | Counselor | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2009-02-09 |
| 1093954653 | Sierra Recovery Center | Substance Abuse Rehabilitation Facility | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2009-02-05 |
| 1609014380 | Teresa Lynn Lane | Counselor | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2009-02-03 |
| 1235377573 | Juana C Anthenien | Counselor | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2009-01-23 |
| 1053576280 | T.c. Nicholas B Garcia II | Counselor | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2008-07-28 |
| 1346426962 | Sierra Recovery Center | Health Maintenance Organization | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2008-01-14 |
| 1356521934 | Jerett Lewis Diamond | Counselor | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2007-11-12 |
| 1508053950 | Denise Batten | Substance Abuse Rehabilitation Facility | 1137 Emerald Bay Rd, South Lake Tahoe, NV 69150-6207 | 2007-10-01 |
| 1780878942 | Sierra Recovery Center | Substance Abuse Rehabilitation Facility | 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 | 2007-08-30 |
| 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 |
| 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 |
| 1265625636 | Tahoe Youth & Family Services | Community/Behavioral Health | 1021 Fremont Ave, South Lake Tahoe, CA 96150-8136 | 2007-08-20 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
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| 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.