Jessica Eddy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120042 Issued in CA

Practice address

589 Tahoe Keys Blvd Ste E8
South Lake Tahoe, CA 96150-3361

Phone

(530) 416-1155

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Sierra Child & Family Services

  • Community/Behavioral Health Agency
  • South Lake Tahoe, CA
  • NPI 1932527330
  NPD

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1750801437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 EMERALD BAY RD STE A2",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506434",
            "telephone_number": "530-544-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 TAHOE KEYS BLVD STE E8",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503361",
            "telephone_number": "530-416-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Kieschnick, PSYD
• Justin Eastman
• Eat Beyond Labels Inc
• Celeste Marie Eckerman, DDS
• Carolyn Eddy, MSW, LCSW
• Nicholas James Edge
• Leslie Edmonds
• Jennifer Ann Ehmann, MD
• John Tyler Eichenberger, FNP
• El Dorado County CCS

• Marriage & Family Therapist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.