NPIMap

Organization Active NPI

Sierra Mental Wellness Group

  • Community/Behavioral Health Agency
  • South Lake Tahoe, CA
National Provider Identifier
1942332788
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIERRA MENTAL WELLNESS GROUP
Practice address
3079 Harrison Ave Ste D
South Lake Tahoe, CA 96150-7976
Phone
(530) 885-0441
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Nicole Vanneman, LMFT
Title
Executive Director
Phone
(916) 783-5207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3079 Harrison Ave Ste D
South Lake Tahoe, CA 96150-7976

Mailing address

925 Highland Pointe Dr Ste 130
Roseville, CA 95678-5426
Phone (916) 783-5207

National Provider Directory

National Provider Directory
Tax ID family
Sierra Mental Wellness Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

560 Wall St
Ste D
Auburn, CA 95603

3079 Harrison Ave
Ste D
South Lake Tahoe, CA 96150
Phone (530) 581-4054

Practitioners & affiliated clinicians

Practitioners 8

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1942332788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND POINTE DR STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785426",
            "telephone_number": "916-783-5207",
            "fax_number": "916-783-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507976",
            "telephone_number": "530-885-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MENTAL WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "VANNEMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-783-5207",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 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.