David Lee Riedesel, LMHC, LADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-0121341 Issued in NM

Practice address

2322 Wisconsin St NE
Albuquerque, NM 87110-4652

Phone

(505) 237-0061

Fax

(505) 237-0068

NPI assigned

Apr 10, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1174766885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 WISCONSIN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104652",
            "telephone_number": "505-237-0061",
            "fax_number": "505-237-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 WISCONSIN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104652",
            "telephone_number": "505-237-0061",
            "fax_number": "505-237-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDESEL",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "LMHC, LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0121221",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0121341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sativa Marie Ridsdale, RDH BS
• Krista Leigh Riebli, D.P.T
• Ty Ried
• Jenna Riedel, RN
• Stephanie Rieder
• Antonella Riega
• Cardinal Rieger
• Cathy Ann Riekeman, DC
• Jennifer Klosterman Rielage, PH.D.
• Sarah E Rieland

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.