Individual provider Active NPI

Michele Allison Fries

  • Professional Counselor
  • South Lake Tahoe, CA
National Provider Identifier
1669116679
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15691 Issued in CA
Practice address
924 Emerald Bay Rd # A2
South Lake Tahoe, CA 96150-9405
Phone
(530) 307-0597
NPI assigned
Apr 25, 2022
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 15691 CA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

924 Emerald Bay Rd # A2
South Lake Tahoe, CA 96150-9405

Mailing address

924 Emerald Bay Rd # A2
South Lake Tahoe, CA 96150-9405
Phone (530) 307-0597

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
15691CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Child & Family Services CurrentSince May 1, 2023 Accepting new patients

Locations

2580 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 494-9839

924 Emerald Bay Rd
Ste A2
South Lake Tahoe, CA 96150
Phone (530) 307-0597

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1669116679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 EMERALD BAY RD # A2",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509405",
            "telephone_number": "530-307-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 EMERALD BAY RD # A2",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961509405",
            "telephone_number": "530-307-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "MICHELE",
        "middle_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "15691",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 30, 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.