Active NPI
Aimie N Sutton, LPCC
- Professional Counselor
- South Lake Tahoe, CA
National Provider Identifier
1336736800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC15131
- Practice address
- 924 Emerald Bay Rd
South Lake Tahoe, CA 96150-9405 - Phone
- (530) 303-8183
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC15131 | CA | Primary |
Addresses
Primary practice location
924 Emerald Bay Rd
South Lake Tahoe, CA 96150-9405
Mailing address
PO Box 17463
South Lake Tahoe, CA 96151-7463
Phone (408) 833-3416
Other practice location 1
924 Emerald Bay Rd # A2
South Lake Tahoe, CA 96150-9405
Phone (408) 833-3416
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 |
|---|---|---|---|
| LPCC15131 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1336736800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17463",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961517463",
"telephone_number": "408-833-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 EMERALD BAY RD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961509405",
"telephone_number": "530-303-8183"
}
],
"practiceLocations": [
{
"address_1": "924 Emerald Bay Rd # A2",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961509405",
"country_code": "US",
"telephone_number": "408-833-3416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "AIMIE",
"middle_name": "N",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC15131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lake Tahoe, CA
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- Abigail Brianna Sutherlin
- Cynthia Marie Swalm, CADC-II A3620592
- Elizabeth Mae Swope, D.D.S.
- T. Rutner DDS Dental Corporation
- Allyson Maria Tabor, R.N., P.H.N.
- Tahoe Basin Behavior Analysis, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.