1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Counselor
  6. NPI Profile

MILENA JERENE SUDAK
NPI 1164764304
Counselor in Albuquerque, NM

Active since March 26, 2013PECOS Enrolled
1405 SAN CARLOS RD SW APT 7, ALBUQUERQUE, NM 87104(720) 495-2346 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Milena Jerene Sudak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILENA JERENE SUDAK (NPI 1164764304) is an individual counselor in Albuquerque, New Mexico and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164764304
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMILENA JERENE SUDAK
Location Address1405 SAN CARLOS RD SW APT 7Albuquerque, NM 87104-1060
Mailing Address1405 San Carlos Rd Sw Apt 7Albuquerque, NM 87104-1060 · (720) 495-2346
Phone(720) 495-2346
Sole ProprietorNo
Enumeration DateMarch 26, 2013
Last NPPES UpdateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1164764304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1405 SAN CARLOS RD SW APT 7, Albuquerque, NM 87104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Milena Jerene Sudak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICAL RITUALS LLC
Social Worker (Clinical)
1405 SAN CARLOS RD SW APT 7
ALBUQUERQUE, NM 87104
Bernalillo County (505) 257-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Milena Sudak's NPI number?

The NPI number for Milena Sudak is 1164764304. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Milena Sudak located?

Milena Sudak practices at 1405 San Carlos Rd SW Apt 7, Albuquerque, NM 87104. The listed phone number is (720) 495-2346.

What is Milena Sudak's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Milena Sudak enrolled in Medicare?

Yes. Milena Sudak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Milena Sudak was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.