Individual provider Active NPI

Kenisha Lashell Reaux Hudson, LMSW

  • Social Worker
  • Houston, TX
National Provider Identifier
1992065296
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
54954 Issued in TX
Practice address
12658 Mansfield Glen CT
Houston, TX 77014-1970
Phone
(832) 729-0140
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 54954 TX Primary
Social Worker 104100000X 8562 TN

Addresses

Primary practice location

12658 Mansfield Glen CT
Houston, TX 77014-1970

Mailing address

12658 Mansfield Glen CT
Houston, TX 77014-1970
Phone (832) 729-0140

Other names 1

  • Miss Kenisha Lashell Reaux Hudson Former name

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
8562TNMDProfessional Counselor
54954TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1992065296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12658 MANSFIELD GLEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141970",
            "telephone_number": "832-729-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12658 MANSFIELD GLEN CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141970",
            "telephone_number": "832-729-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAUX HUDSON",
        "first_name": "KENISHA",
        "middle_name": "LASHELL",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "54954",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "8562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENISHA",
            "last_name": "REAUX HUDSON",
            "middle_name": "LASHELL",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.