MR. ADOLFO JORGE MEDINA (NPI# 1033123849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033123849 |
| Entity Type | Individual |
| Full Name | MR. ADOLFO JORGE MEDINA |
| Other Name | AL MEDINA |
| Credential | LMFT |
| Practice Address |
5978 Greenwood Cmn Livermore CA 94550-4798 |
| Practice Telephone | 9255189168 |
| Practice Fax Number | 9253736654 |
| Mailing Telephone | 9253736654 |
| Mailing Fax Number | 9253736654 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MFC35047 | CA | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
MFC35047 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFC35047 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124477997 | Adolfo Medina | Student in an Organized Health Care Education/Training Program | 149 Calle Guajataca, Urb. Crown Hills, San Juan, PR 00926-6004 | 2016-06-12 |
| Street Address |
5978 GREENWOOD CMN |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-4798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738220 | Leonne Thatcher | Marriage & Family Therapist | 3037 Independence Dr, Livermore, CA 94551-7670 | 2019-09-06 |
| 1952955080 | Lesli Michelle Borrelli-welch | Marriage & Family Therapist | 2551 Cowan Way, Livermore, CA 94550-7388 | 2019-07-26 |
| 1073078192 | Kim Kerr | Marriage & Family Therapist | 2222 Second St Ste 15, Livermore, CA 94550-4555 | 2019-02-02 |
| 1083185029 | Marylynn Perreault | Marriage & Family Therapist | 2222 Second St Ste 16, Livermore, CA 94550-4555 | 2018-12-17 |
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1427562958 | Carolanne Mary Hale | Marriage & Family Therapist | 3179 Independence Dr, Livermore, CA 94551-7595 | 2017-11-20 |
| 1992228852 | Lisa Michelle Gray | Marriage & Family Therapist | 1062 Murrieta Blvd, Livermore, CA 94550-4111 | 2017-07-24 |
| 1073977047 | Toni-joan Alton | Marriage & Family Therapist | 173 Heligan Ln Unit 1, Livermore, CA 94551-6420 | 2016-04-06 |
| 1558746966 | Julie Bjelland | Marriage & Family Therapist | 2222 Second St, Suite 14, Livermore, CA 94550-4554 | 2015-07-27 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| Find all providers in LIVERMORE | ||||
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| 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.