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MRS. ELIZABETH FEDOR LADC
NPI 1467656645
Counselor - Addiction (Substance Use Disorder) in South Lake Tahoe, CA

Active since June 12, 2007
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150(530) 541-5190 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Elizabeth Fedor Ladc NPPES

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

MRS. ELIZABETH FEDOR LADC (NPI 1467656645) is an individual addiction (substance use disorder) provider in South Lake Tahoe, California, licensed in Nevada (148 L) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1467656645
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. ELIZABETH FEDORCredential: LADC
Location Address1137 EMERALD BAY RDSouth Lake Tahoe, CA 96150-6207
Mailing AddressPo Box 14269South Lake Tahoe, CA 96151-4269 · (530) 544-5374
Phone(530) 541-5190
Sole ProprietorNo
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467656645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 148 L
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
Community/Behavioral Health
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
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 Elizabeth Fedor's NPI number?

The NPI number for Elizabeth Fedor is 1467656645. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Elizabeth Fedor located?

Elizabeth Fedor practices at 1137 Emerald Bay Rd, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-5190.

What is Elizabeth Fedor'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 Elizabeth Fedor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.