Sierra Crest Salubrity, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26636 Issued in CA

Legal business name

SIERRA CREST SALUBRITY, LLC

Practice address

10770 Donner Pass Rd
Suite 103
Truckee, CA 96161-4880

Phone

(530) 414-8014

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Stacey Stahl, LCSW

Title

Owner

Phone

(530) 414-8014

Specialties & licenses 1

Addresses

Other names 1

• Truckee Therapy Doing business as

Locations

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1689098469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 DONNER PASS RD",
            "address_2": "SUITE 103",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 DONNER PASS RD",
            "address_2": "SUITE 103",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614880",
            "telephone_number": "530-414-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA CREST SALUBRITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-414-8014",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Truckee Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Sakae Shinsato, MS, AMFT
• Jenna Shlachter
• Sierra Agape Center
• Sierra Child & Family Services
• Sierra Cosmetic Laser, Inc
• Sierra Mountain Medical Group
• Sierra Multi Specialty Medical Group
• Sierra Sports & Physical Therapy, Inc.
• Gurpreet Singh, MD
• Christopher K. Skaff, MD

• Clinical Social Worker in Truckee, CA
• Providers in Truckee, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.