Active NPI
Kenisha Lashell Reaux Hudson, LMSW
- Social Worker
- Houston, TX
National Provider Identifier
1992065296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 54954
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8562 | TN | MD | Professional Counselor |
| 54954 | TX | MD | Social 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.