Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas James Edge

Individual provider Mental Health Counselor · NPI 1770939308

Nicholas James Edge is a Mental Health Counselor in South Lake Tahoe, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305
Phone: (530) 573-7970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1770939308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 12, 2016
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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