Individual provider Active NPI

Ronald Gareis

  • Addiction (Substance Use Disorder) Counselor
  • South Lake Tahoe, CA
National Provider Identifier
1104167907
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
G1101021121 Issued in CA
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

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
G1101021121CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.