Individual provider Active NPI

Risa Lenae Hudson

  • Counselor
  • Oklahoma City, OK
National Provider Identifier
1548734684
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC07709 Issued in OK
Practice address
1800 E Memorial Rd Ste 105
Oklahoma City, OK 73131-1827
Phone
(405) 646-0600
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC07709 OK Primary

Addresses

Primary practice location

1800 E Memorial Rd Ste 105
Oklahoma City, OK 73131-1827

Mailing address

1800 E Memorial Rd Ste 105
Oklahoma City, OK 73131-1827

Other practice location 1

4130 N Lincoln Blvd
Oklahoma City, OK 73105-5209
Phone (405) 267-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC07709OKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1548734684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E MEMORIAL RD STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E MEMORIAL RD STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311827",
            "telephone_number": "405-646-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 N Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731055209",
            "country_code": "US",
            "telephone_number": "405-267-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "RISA",
        "middle_name": "LENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "LPC07709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.