WALTER PEDERSEN CADC II
NPI 1730301128
Counselor - Addiction (Substance Use Disorder) in South Lake Tahoe, CA

Q: What is Walter Pedersen's NPI number?

The NPI number for Walter Pedersen is 1730301128. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Walter Pedersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walter Pedersen was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 03, 2007

2494 LAKE TAHOE BLVD STE B2, SOUTH LAKE TAHOE, CA 96150(530) 541-4594 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Walter Pedersen Cadc Ii NPPES

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

WALTER PEDERSEN CADC II (NPI 1730301128) is an individual addiction (substance use disorder) provider in South Lake Tahoe, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1730301128

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameWALTER PEDERSENCredential: CADC II

Location Address2494 LAKE TAHOE BLVD STE B2South Lake Tahoe, CA 96150-7142

Mailing Address3668 Spruce Ave, Apt. 19South Lake Tahoe, CA 96150-7497 · (530) 388-8085

Phone(530) 541-4594

Sole ProprietorNo

Enumeration DateMay 3, 2007

Last NPPES UpdateApril 10, 2014

✔ NPI 1730301128 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

2494 LAKE TAHOE BLVD STE B2, South Lake Tahoe, CA 96150

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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 Walter Pedersen's NPI number?

The NPI number for Walter Pedersen is 1730301128. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Walter Pedersen located?

Walter Pedersen practices at 2494 Lake Tahoe Blvd Ste B2, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-4594.

What is Walter Pedersen'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 Walter Pedersen was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.