Trudy Reder, M.S.,L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

134608 Issued in AK

Practice address

12110 Business Blvd
Ste 34
Eagle River, AK 99577

Phone

(907) 726-3535

Fax

(907) 726-0627

NPI assigned

Sep 25, 2009

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Our Meadows LLC

  • Mental Health Counselor
  • Eagle River, AK
  • NPI 1851925184
  NPD

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1851625669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "STE 34",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-726-3535",
            "fax_number": "907-726-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "STE 34",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "99577",
            "telephone_number": "907-726-3535",
            "fax_number": "907-726-0627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 W Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996545327",
            "country_code": "US",
            "telephone_number": "907-386-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDER",
        "first_name": "TRUDY",
        "name_prefix": "Ms.",
        "credential": "M.S.,L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "134608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna B Ragan, LCSW
• Cheree Rainey
• Jason Michael Rampton, DMD
• Aiko Ranchoff
• Maria Revels Rathke, MS, CCC-SLP
• Christopher Thomas Reed, DPT
• Laura T Regan, PT, DPT
• Elizabeth Reiland, LPC
• Christopher Reintsma, BA PSYCHOLOGY, CDC1
• Revive Infusion Clinic, LLC

• Mental Health Counselor in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.