Active NPI
Nicole Marie Vandehurst, MA
- Social Worker
- South Lake Tahoe, CA
National Provider Identifier
1316578701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305 - Phone
- (530) 573-7956
- NPI assigned
- Feb 4, 2020
- Last updated
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | CA | Primary |
Addresses
Primary practice location
1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305
Mailing address
2795 Springwood Dr
South Lake Tahoe, CA 96150-2815
Phone (707) 849-0128
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.vandehurst@edcgov.us | ||
| Direct Messaging Address | nicole.vandehurst@edcgov.us |
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1316578701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2795 SPRINGWOOD DR",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961502815",
"telephone_number": "707-849-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 LAKE TAHOE BLVD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506305",
"telephone_number": "530-573-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEHURST",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.vandehurst@edcgov.us",
"affiliation": "N",
"address_1": "1900 Lake Tahoe Blvd",
"city": "South Lake Tahoe",
"state": "CA",
"country_code": "US",
"postal_code": "961506305",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.vandehurst@edcgov.us",
"affiliation": "N",
"address_1": "1900 Lake Tahoe Blvd",
"city": "South Lake Tahoe",
"state": "CA",
"country_code": "US",
"postal_code": "961506305",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.