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MR. EVAN DECKER
NPI 1902045354
Counselor - Addiction (Substance Use Disorder) in South Lake Tahoe, CA

Active since February 09, 2009
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150(530) 541-5190(530) 541-6031 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Evan Decker NPPES

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

MR. EVAN DECKER (NPI 1902045354) is an individual addiction (substance use disorder) provider in South Lake Tahoe, California and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1902045354
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EVAN DECKER
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
Sole ProprietorYes
Enumeration DateFebruary 9, 2009
✔ NPI 1902045354 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
1137 EMERALD BAY RD, South Lake Tahoe, CA 96150
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Other Providers at the Same Location NPPES 13

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

SIERRA RECOVERY CENTER
Community/Behavioral Health
1137 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-5190
MR. FRANK R COLEMAN LADC
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
MS. DEBORAH KATHLEEN MENDONSA
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
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
SIERRA RECOVERY CENTER
Health Maintenance Organization
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 Evan Decker's NPI number?

The NPI number for Evan Decker is 1902045354. It was assigned to this individual provider in the NPPES registry on February 9, 2009.

Where is Evan Decker located?

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

What is Evan Decker'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 Evan Decker was last updated on February 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.