Mountain High Recovery Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MOUNTAIN HIGH RECOVERY CENTER

Practice address

2949 Lake Tahoe Blvd
Suite B7
South Lake Tahoe, CA 96150

Phone

(530) 600-6505

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim HewettNPI 1386024453

Title

Administrative Assistant

Phone

(918) 207-9519

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Hewett

  • Case Manager/Care Coordinator
  • Tahlequah, OK
  • NPI 1386024453
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1033805015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 LAKE TAHOE BLVD",
            "address_2": "SUITE B7",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-600-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 LAKE TAHOE BLVD",
            "address_2": "SUITE B7",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96150",
            "telephone_number": "530-600-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HIGH RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "HEWETT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "918-207-9519"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Edward Moore
• Londa Moore, CAREGIVER
• Amanda Morozumi
• Jana R Mortellaro, MS, OTR-L, CHT
• Kate Mosher, LCSW
• Mountain Therapy Collaborative
• Michaela Murphy
• Marissa Rose Muscat, MD
• Taylor Brooke Myatt, MD
• Jordan Corinne Myers, PHARMACY TECHNICIAN

• Marriage & Family Therapist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.