Kambrielle Alissa Hudson, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMSW-45247 Issued in ID

Practice address

3501 W Elder St
Boise, ID 83705-4986

Phone

(208) 286-1529

Fax

(208) 445-2285

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Noble Intent

  • Adolescent and Children Mental Health Clinic/Center
  • Boise, ID
  • NPI 1992502827
  NPD (past)
• Noble Intent LLC

  dba Noble Intent Continuum of Care Programs

  • Clinical Social Worker
  • Boise, ID
  • NPI 1174155741
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1477394559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N 725 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215341",
            "telephone_number": "208-516-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W ELDER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054986",
            "telephone_number": "208-286-1529",
            "fax_number": "208-445-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KAMBRIELLE",
        "middle_name": "ALISSA",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LMSW-45247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly N. Hudson-Nogle, MSW
• Angela Kathleen Hudson, LMSW
• Anna Willis Hudson, MD
• Ashley S Hudson, MK, LAT, ATC
• Jonelle Hudson, APRN-CNP
• Kayla Hudson, LMSW
• Kevin M Hudson, PA-C
• Kieler Hudson
• Reuben Guy Hudson, MD FAAP
• Randall Steven Hudspeth, NP

• Mental Health Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.