Active NPI
Ronald Gareis
- Addiction (Substance Use Disorder) Counselor
- South Lake Tahoe, CA
National Provider Identifier
1104167907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- G1101021121
- Practice address
- 2494 Lake Tahoe Blvd
Ste. B5
South Lake Tahoe, CA 96150-7719 - Phone
- (530) 541-4594
- Fax
- (530) 541-3144
- NPI assigned
- Mar 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | G1101021121 | CA | Primary |
Addresses
Primary practice location
2494 Lake Tahoe Blvd
Ste. B5
South Lake Tahoe, CA 96150-7719
Mailing address
2494 Lake Tahoe Blvd
Ste. B5
South Lake Tahoe, CA 96150-7719
Phone (530) 541-4594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1101021121 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tahoe Turning Point, Inc. | Past | Accepting new patients | |
| Tahoe Turning Point | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- South Lake Tahoe, CA
- NPI 1891180865
-
- Community/Behavioral Health Agency
- South Lake Tahoe, CA
- NPI 1235409178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1104167907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2494 LAKE TAHOE BLVD",
"address_2": "STE. B5",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507719",
"telephone_number": "530-541-4594",
"fax_number": "530-541-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2494 LAKE TAHOE BLVD",
"address_2": "STE. B5",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507719",
"telephone_number": "530-541-4594",
"fax_number": "530-541-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAREIS",
"first_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-05",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "G1101021121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.