Kadontreal Renee Hutcherson, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

R10832 Issued in OR

Practice address

1550 NW Eastman Pkwy Ste 175
Gresham, OR 97030-3859

Phone

(503) 610-3853

NPI assigned

Feb 25, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kadontreal Renee Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1346046745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY STE 175",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303859",
            "telephone_number": "503-610-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 NW EASTMAN PKWY STE 175",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303859",
            "telephone_number": "503-610-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHERSON",
        "first_name": "KADONTREAL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "R10832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KADONTREAL",
            "last_name": "DAVIS",
            "middle_name": "RENEE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele Huntsman
• Beth A Hurley, LMT, CPMT
• Jacob Hurner
• Aliya Hussein
• Wendy Susanne Hustad, LMT
• Tiffany Hutchison, MA, LPC, CADC
• Madison Adele Hutton
• Jennifer G Huynh, RN
• Kathryn L Huyssoon, MD
• Sandra S Hwang

• Professional Counselor in Gresham, OR
• Providers in Gresham, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.