Jordan Briede

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3079 Harrison Ave Ste D
South Lake Tahoe, CA 96150-7976

Phone

(916) 783-5207

NPI assigned

Aug 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sierra Mental Wellness Group

  • Community/Behavioral Health Agency
  • South Lake Tahoe, CA
  • NPI 1942332788
  NPD

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1164902227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507976",
            "telephone_number": "916-783-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507976",
            "telephone_number": "916-783-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 SE Powell Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972023371",
            "country_code": "US",
            "telephone_number": "503-234-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIEDE",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard David Botto, MD
• Alexa Brady
• Sandra L Branton, EDD
• Allison V Brewer, MD
• Brian Hunt, MD, Inc
• Chelsea C Brierly, MA MFT
• Kaye Mary Brindley, LCSW
• Mackenzie Bronson, MD
• Harrison Thomas Calhoun Brown, DPT
• Nancy Bru, DPT, PT

• Counselor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.