NPIMap

Organization Active NPI

Tahoe Youth and Family Services

  • Community/Behavioral Health Agency
  • South Lake Tahoe, CA
National Provider Identifier
1790805216
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TAHOE YOUTH AND FAMILY SERVICES
Practice address
1021 Fremont Avenue
South Lake Tahoe, CA 96150-8136
Phone
(530) 541-2445
Fax
(530) 541-0517
NPI assigned
Mar 29, 2007
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Mr. Cheyanne Lane
Title
Executive Director
Phone
(530) 541-2445

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Case Manager/Care Coordinator 171M00000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

1021 Fremont Avenue
South Lake Tahoe, CA 96150-8136

Mailing address

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone (530) 541-2445

Other identifiers 1

IdentifierTypeStateIssuer
090906000OtherCAMEDI CAL PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Tahoe Youth Family Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1790805216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 FREMONT AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508136",
            "telephone_number": "530-541-2445",
            "fax_number": "530-541-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FREMONT AVENUE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508136",
            "telephone_number": "530-541-2445",
            "fax_number": "530-541-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHEYANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-541-2445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL PROVIDER ID",
            "identifier": "090906000",
            "state": "CA"
        }
    ],
    "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 Jul 16, 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.