DAVID LEE RIEDESEL (NPI# 1174766885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174766885 |
| Entity Type | Individual |
| Full Name | DAVID LEE RIEDESEL |
| Credential | LMHC, LADAC |
| Practice Address |
2322 Wisconsin St Ne Albuquerque NM 87110-4652 |
| Practice Telephone | 5052370061 |
| Practice Fax Number | 5052370068 |
| Mailing Telephone | 5052370061 |
| Mailing Fax Number | 5052370068 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0121221 | NM | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
T-0121341 | NM | Behavioral Health & Social Service Providers |
| Street Address |
2322 WISCONSIN ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DAVID LEE RIEDESEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.