Individual provider Active NPI

Nancy Huzicka Crebs, LMFT

  • Marriage & Family Therapist
  • South Lake Tahoe, CA
National Provider Identifier
1750744181
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92420 Issued in CA
Practice address
3351 Lake Tahoe Blvd Ste 9
South Lake Tahoe, CA 96150-7920
Phone
(530) 386-8386
NPI assigned
Apr 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 92420 CA Primary

Addresses

Primary practice location

3351 Lake Tahoe Blvd Ste 9
South Lake Tahoe, CA 96150-7920

Mailing address

PO Box 7138
South Lake Tahoe, CA 96158-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2024 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459555200000",
    "number": "1750744181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7138",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961580138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 LAKE TAHOE BLVD STE 9",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507920",
            "telephone_number": "530-386-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUZICKA CREBS",
        "first_name": "NANCY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.