IndividualActive
Keith Tom
NPI 1104578897 · Mental Health Counselor · Truckee, CA
Keith Tom is a Mental Health Counselor provider in Truckee, CA (NPI 1104578897).
Provider details
- NPI number
- 1104578897
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10038 Meadow Way Unit D
Truckee, CA 96161-4974
Phone: (510) 381-3705
Street-level locationGet directions
Mailing address
2604 Armstrong Ave
South Lake Tahoe, CA 96150-2941
Registry dates
- Enumerated
- 2022-01-24
- Last updated
- 2022-01-24
- Certified
- 2022-01-24
Frequently asked questions
- What is Keith Tom's NPI number?
- Keith Tom's National Provider Identifier (NPI) is 1104578897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Tom's specialty?
- Keith Tom is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Keith Tom located?
- Keith Tom's practice location on file with NPPES is 10038 Meadow Way Unit D, Truckee, CA 96161-4974.
- What is Keith Tom's phone number?
- The practice phone number listed in the NPPES registry for Keith Tom is (510) 381-3705.
- Is Keith Tom's NPI active?
- Yes — Keith Tom's NPI (1104578897) is active in the NPPES registry as of the last update on 2022-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.