MR. ROBERT MEDINA (NPI# 1013149632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013149632 |
| Entity Type | Individual |
| Full Name | MR. ROBERT MEDINA |
| Credential | LMHC |
| Practice Address |
10400 Sw Stephanie Way Apt 207 Port Saint Lucie FL 34987-1971 |
| Practice Telephone | 8134165458 |
| Mailing Telephone | 8134165458 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH9670 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437682705 | Robert Medina | Specialist/Technologist | 4500 Parker Ave, Norfolk, VA 23529-0001 | 2017-04-04 |
| 1003802307 | Robert Medina Jr. | Pharmacist | 6010 Amarillo Blvd West, Amarillo, TX 79106 | 2005-09-22 |
| 1114236056 | Robert S Medina | Pharmacist | 535 Central Ave, Los Alamos, NM 87544-3202 | 2010-09-27 |
| 1235185190 | Robert M Medina | Physician Assistant | 1115 S Sunset Ave, West Covina, CA 91790-3940 | 2006-05-25 |
| Street Address |
10400 SW STEPHANIE WAY APT 207 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34987-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667104 | Karissa Bolden | Counselor | 5776 Nw Zinnia St, Port Saint Lucie, FL 34986-3501 | 2020-07-28 |
| 1356967178 | Vanessa Saavedra Perez Rowe | Counselor | 7512 Nw Farnsworth Cir, Port Saint Lucie, FL 34987-3036 | 2020-06-17 |
| 1891317707 | Maria Lam | Counselor | 5854 Nw Fogel Ct, Port Saint Lucie, FL 34986-3827 | 2020-05-13 |
| 1215576327 | Kathryn Gayle Rogers | Counselor | 9668 Sw Chestwood Ave, Port Saint Lucie, FL 34987-2515 | 2020-01-06 |
| 1053958827 | Faith Sanders | Counselor | 1066 Sw Dartmouth Ave, Port Saint Lucie, FL 34953-8516 | 2019-11-29 |
| 1689220824 | Schillena Fervily | Counselor | 4481 Sw New Ct, Port Saint Lucie, FL 34953-5458 | 2019-08-14 |
| 1144876236 | Joanne Arroyo | Counselor | 2244 Se Trillo St, Port Saint Lucie, FL 34952-6872 | 2019-08-14 |
| 1568920148 | Theresa Brannigan | Counselor | 567 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1629 | 2019-03-04 |
| 1801350830 | Laverne Webber | Counselor | 3260 Sw Rosser Blvd, Port Saint Lucie, FL 34953-4719 | 2019-01-23 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34987 |
Please comment or provide details below to improve the information on MR. ROBERT MEDINA.
| 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.