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SIERRA RECOVERY CENTER
NPI 1336352053
Community/Behavioral Health in South Lake Tahoe, CA

Active since May 08, 2007
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150(530) 541-5190(530) 541-6031 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sierra Recovery Center NPPES

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

SIERRA RECOVERY CENTER (NPI 1336352053) is a healthcare organization registered as a community/behavioral health in South Lake Tahoe, California and active in the NPI registry since May 2007. The organization lists Elizabeth Fedor, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336352053
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSIERRA RECOVERY CENTER
Location Address1137 EMERALD BAY RDSouth Lake Tahoe, CA 96150-6207
Mailing Address1137 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 541-5190 · Fax (530) 541-6031
Phone(530) 541-5190
Fax(530) 541-6031
Organization SubpartNo
Authorized OfficialElizabeth FedorExecutive Director · (530) 541-5190
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 9, 2007
✔ NPI 1336352053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 090003BN
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
1137 EMERALD BAY RD, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES 11

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

MR. T.C. NICHOLAS B GARCIA II
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
SIERRA RECOVERY CENTER
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MRS. JUANA C ANTHENIEN
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
SIERRA RECOVERY CENTER
Health Maintenance Organization
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MR. MICHAEL DOMINICK PARDO CADC
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
JERETT LEWIS DIAMOND
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MRS. ELIZABETH FEDOR LADC
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MR. MICHAEL JUCKETT
Counselor (Addiction (Substance Use Disorder))
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190

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 Sierra Recovery Center's NPI number?

The NPI number for Sierra Recovery Center is 1336352053. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Sierra Recovery Center located?

Sierra Recovery Center is located at 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-5190.

What is Sierra Recovery Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Sierra Recovery Center was last updated on August 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.