Individual provider Active NPI

Ca'Ren Danielle Hudson, LMFTA

  • Marriage & Family Therapist
  • Cary, NC
National Provider Identifier
1922727890
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12451A Issued in NC
Practice address
1513 Walnut St
Cary, NC 27511-5972
Phone
(919) 909-1230
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12451A NC Primary

Addresses

Primary practice location

1513 Walnut St
Cary, NC 27511-5972

Mailing address

233 Farrington Dr Apt E
Raleigh, NC 27615-5065
Phone (443) 722-6055

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@raleighfamilysolutions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12451ANCMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1922727890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FARRINGTON DR APT E",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155065",
            "telephone_number": "443-722-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115972",
            "telephone_number": "919-909-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "CA'REN",
        "middle_name": "DANIELLE",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12451A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@raleighfamilysolutions.com",
            "affiliation": "N",
            "address_1": "1513 Walnut St",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275115972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.