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EL DORADO COUNTY MENTAL HEALTH
NPI 1346441417
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Lake Tahoe, CA

Active since May 29, 2007
1900 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(530) 573-7970(530) 543-6873 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About El Dorado County Mental Health NPPES

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

EL DORADO COUNTY MENTAL HEALTH (NPI 1346441417) is a healthcare organization registered as a mental health (including community mental health center) in South Lake Tahoe, California and active in the NPI registry since May 2007. The organization lists Nicole Ebrahimi-nuyken, Behavioral Health Director, as its authorized official.

NPPES Registry Identity

NPI1346441417
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEL DORADO COUNTY MENTAL HEALTH
Location Address1900 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6305
Mailing Address768 Pleasant Valley Rd Ste 201Diamond Springs, CA 95619-9260 · (530) 621-6183 · Fax (530) 295-2532
Phone(530) 573-7970
Fax(530) 543-6873
Organization SubpartNo
Authorized OfficialNicole Ebrahimi-nuykenBehavioral Health Director · (530) 621-6545
Enumeration DateMay 29, 2007
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1346441417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1900 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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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.

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 El Dorado County Mental Health's NPI number?

The NPI number for El Dorado County Mental Health is 1346441417. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is El Dorado County Mental Health located?

El Dorado County Mental Health is located at 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 573-7970.

What is El Dorado County Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for El Dorado County Mental Health was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.