Individual provider Active NPI

Kelsey J Targosz, M.S. PPS

  • School Counselor
  • S Lake Tahoe, CA
National Provider Identifier
1225854086
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
Meyers Elementary School
1095 E San Bernardino Ave
S Lake Tahoe, CA 96150-5235
Phone
(530) 543-2371
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X PA
School Counselor 101YS0200X CA Primary

Addresses

Primary practice location

Meyers Elementary School
1095 E San Bernardino Ave
S Lake Tahoe, CA 96150-5235

Mailing address

1021 Al Tahoe Blvd
S Lake Tahoe, CA 96150-4502
Phone (530) 543-2371

Other practice location 1

Alpine County Unified School District
35 Hawkside Drive
Markleeville, CA 96120
Phone (530) 694-2238

Other names 1

  • Kelsey J Potorski Former name

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1225854086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 AL TAHOE BLVD",
            "city": "S LAKE TAHOE",
            "state": "CA",
            "postal_code": "961504502",
            "telephone_number": "530-543-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEYERS ELEMENTARY SCHOOL",
            "address_2": "1095 E SAN BERNARDINO AVE",
            "city": "S LAKE TAHOE",
            "state": "CA",
            "postal_code": "961505235",
            "telephone_number": "530-543-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Alpine County Unified School District",
            "address_2": "35 Hawkside Drive",
            "address_purpose": "LOCATION",
            "city": "Markleeville",
            "state": "CA",
            "postal_code": "96120",
            "country_code": "US",
            "telephone_number": "530-694-2238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARGOSZ",
        "first_name": "KELSEY",
        "middle_name": "J",
        "credential": "M.S. PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "POTORSKI",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in S Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.