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KEITH WILLIAM TOM
NPI 1104578897
Counselor - Mental Health in Truckee, CA

Active since January 24, 2022
10038 MEADOW WAY UNIT D, TRUCKEE, CA 96161(510) 381-3705 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith William Tom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH WILLIAM TOM (NPI 1104578897) is an individual mental health provider in Truckee, California and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1104578897
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH WILLIAM TOM
Location Address10038 MEADOW WAY UNIT DTruckee, CA 96161-4974
Mailing Address2604 Armstrong AveSouth Lake Tahoe, CA 96150-2941 · (510) 381-3705
Phone(510) 381-3705
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1104578897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10038 MEADOW WAY UNIT D, Truckee, CA 96161
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL N PEREZ MERCADO
Marriage & Family Therapist
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (939) 250-1313
COLBY MOATS
Community Health Worker
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (530) 448-6312
BRIONNA MINER
Counselor (Mental Health)
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (503) 400-0561
MRS. CAROLYN HITCHCOCK
Community Health Worker
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (530) 606-0608
JARED ALDEN M.S. PSYCHOLOGY
Student in an Organized Health Care Education/Training Program
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (530) 414-3118
ERIKA VEIDIS
Rehabilitation Practitioner
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (530) 426-2110
TABITHA MARCELLA MAGNER
Marriage & Family Therapist
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (530) 426-2110
ANTONY STANGEL
Counselor (Mental Health)
10038 MEADOW WAY UNIT D
TRUCKEE, CA 96161
Placer County (916) 276-7465

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Tom's NPI number?

The NPI number for Keith Tom is 1104578897. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Keith Tom located?

Keith Tom practices at 10038 Meadow Way Unit D, Truckee, CA 96161. The listed phone number is (510) 381-3705.

What is Keith Tom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Keith Tom was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.