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CRISTIE TERESITA TIBBETTS
NPI 1306038104
Counselor - Addiction (Substance Use Disorder) in South Lake Tahoe, CA

Active since August 15, 2007
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 307-1170(530) 307-1170 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Aug 10, 2017 (2 updates tracked since 2017).

About Cristie Teresita Tibbetts NPPES

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

CRISTIE TERESITA TIBBETTS (NPI 1306038104) is an individual addiction (substance use disorder) provider in South Lake Tahoe, California and active in the NPI registry since August 2007. She maintains a secondary practice location in South Lake Tahoe.

NPPES Registry Identity

NPI1306038104
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRISTIE TERESITA TIBBETTS
Location Address1900 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6305
Mailing Address1900 Lake Tahoe BlvdSouth Lake Tahoe, CA 96150-6305 · (530) 573-7965 · Fax (530) 541-0517
Phone(530) 307-1170
Fax(530) 307-1170
Sole ProprietorNo
Enumeration DateAugust 15, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1306038104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Secondary Practice Location 1

Location 11021 Fremont AveSouth Lake Tahoe, CA 96150-8136 · Phone (530) 541-2445 ext. 103 · Fax (530) 541-0517

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.

ASHLEY MARIE MAVON
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7927
JASON EDWARD MOORE
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7970
DR. JUANITA LERMA HERNANDEZ-MORIN PSY.D.
Psychologist (Clinical)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7993
COUNTY OF EL DORADO
Community/Behavioral Health
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 621-6207
SHERESE CHRETIEN
Psychologist
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7909
ELIZABETH DRABANT
Social Worker (Clinical)
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7970
SHEREE SMAIL
Case Manager/Care Coordinator
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 573-7861
SUSAN ARIANA TARISA BENHAM
Social Worker
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 318-4824

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 Cristie Tibbetts's NPI number?

The NPI number for Cristie Tibbetts is 1306038104. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Where is Cristie Tibbetts located?

Cristie Tibbetts practices at 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 307-1170.

What is Cristie Tibbetts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cristie Tibbetts was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.