Koren Renee Hudson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17621 Issued in AZ

Practice address

5230 E Shea Blvd Ste 100
Scottsdale, AZ 85254-5751

Phone

(602) 652-0163

NPI assigned

Aug 23, 2019

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

Locations

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.

• Notmykid

  • Community/Behavioral Health Agency
  • Scottsdale, AZ
  • NPI 1295358166
  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1952958928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544793",
            "telephone_number": "602-652-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545751",
            "telephone_number": "602-652-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17300 N Dysart Rd",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853784501",
            "country_code": "US",
            "telephone_number": "623-233-3000 x196",
            "fax_number": "623-745-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "KOREN",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Kelly Hucke, O.T.
• Sami Khaled Hudaib, MD
• Kristin Hudgins, LMT
• Hudson Chiropractic Corporation
• Cullen Hudson, MD
• Mark Edward Hudson, MD
• Miles Allen Hudson
• Shaun William Hudson, D.C.
• Tanya Sue Hudson, D.C.
• Karla Huerta, LMSW

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.