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Mountain Therapy Collaborative

Group Psychotherapy Psychologist in South Lake Tahoe, CA · enumerated 2017 · authorized official Matthew Wong, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053825505

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain Therapy Collaborative
Practice address 870 Emerald Bay Rd Ste 303, South Lake Tahoe, CA, 96150
Fax (530) 600-0063
Enumeration date Nov 20, 2017
Last updated in NPPES Nov 20, 2017

Taxonomy & classification

103TP2701X Group Psychotherapy Psychologist Behavioral Health & Social Service Providers Primary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Matthew Wong
Title Owner

Other identifiers

Identifier Type State Issuer
1598157117 Medicaid CA -
1619169653 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mountain Therapy Collaborative?
Mountain Therapy Collaborative is registered in NPPES as a Group Psychotherapy Psychologist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-11-20.