NPIMap

Organization Active NPI

Truckee Therapy Inc Licensed Clinical Social Worker

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Truckee, CA
National Provider Identifier
1831814698
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRUCKEE THERAPY INC LICENSED CLINICAL SOCIAL WORKER
Practice address
11025 Pioneer TRL Unit 101B
Truckee, CA 96161-0250
Phone
(530) 285-3335
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Authorized official

Name
Stacey Stahl, LCSWNPI 1720275738
Title
Owner
Phone
(530) 414-8014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11025 Pioneer TRL Unit 101B
Truckee, CA 96161-0250

Mailing address

PO Box 574
Truckee, CA 96160-0574
Phone (530) 285-3335

Other practice location 1

2100 Eloise Ave
South Lake Tahoe, CA 96150-4306
Phone (530) 544-1748

Other identifiers 1

IdentifierTypeStateIssuer
1720275738OtherNPI

Other names 1

  • Truckee Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.truckeetherapy.com

National Provider Directory

National Provider Directory

Locations

10833 Donner Pass Rd
Ste 206
Truckee, CA 96161
Phone (530) 414-8014

11025 Pioneer Trl
Unit 101B
Truckee, CA 96161
Phone (530) 285-3335

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745625600000",
    "number": "1831814698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961600574",
            "telephone_number": "530-285-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11025 PIONEER TRL UNIT 101B",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610250",
            "telephone_number": "530-285-3335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Eloise Ave",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961504306",
            "country_code": "US",
            "telephone_number": "530-544-1748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUCKEE THERAPY INC LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720275738",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.truckeetherapy.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "10833 Donner Pass Rd Ste 206",
            "city": "Truckee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961614851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Truckee Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Truckee Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2025; 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.