Active NPI
Renaissance Man David Hudson Counseling
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1255016101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RENAISSANCE MAN DAVID HUDSON COUNSELING
- Practice address
- 3321 Candelaria Rd NE Ste 159
Albuquerque, NM 87107-1966 - Phone
- (505) 514-9361
- NPI assigned
- Jun 19, 2023
- Last updated
- Jun 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Hudson
- Title
- Owner
- Phone
- (505) 514-9361
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
3321 Candelaria Rd NE Ste 159
Albuquerque, NM 87107-1966
Mailing address
3321 Candelaria Rd NE Ste 159
Albuquerque, NM 87107-1966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1720232150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687132800000",
"number": "1255016101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 CANDELARIA RD NE STE 159",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3321 CANDELARIA RD NE STE 159",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071966",
"telephone_number": "505-514-9361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE MAN DAVID HUDSON COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-19",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-514-9361"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Melissa Sue Remmert, DNAP, CRNA
- Monica T. Rempen, DOM
- Jameel Karim Remtullah
- Jie Ren, DO, MS, RDN
- Renaissance Health Care LLC (Spanish Trails Rehabilitation Suites)
- Renal and Internal Medicine Consultant PC
- Renal Medicine Associates LTD. (Renal Medicine Associates)
- Christobel Rendall, MD
- Rebecca Rendon de Gonzales, LMHC
- Alexandra Rendon-Ruiz, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.