ALICIA BEATRIZ MEDINA (NPI# 1073126165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073126165 |
| Entity Type | Individual |
| Full Name | ALICIA BEATRIZ MEDINA |
| Practice Address |
401 S Tustin St Bldg D Orange CA 92866-2550 |
| Practice Telephone | 7142893936 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 119570 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 S Tustin St Bldg D, Orange, CA 928662550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922470731 | Alicia M Medina | Nurse Practitioner | 3540 State Route 59, Ravenna, OH 44266-1352 | 2015-10-21 |
| 1164856043 | Alicia Lajuan Medina | Nurse Practitioner | 5609 Honeygo Ridge Ct, White Marsh, MD 21162-3406 | 2013-08-27 |
| 1740625391 | Alicia Sabina Medina | Contractor | 6889 Hampton Cir, Gurnee, IL 60031-4019 | 2013-05-08 |
| 1265767511 | Alicia Marie Medina | Licensed Practical Nurse | 130 Curtis St, North Lewisburg, OH 43060-9751 | 2009-10-05 |
| 1174169007 | Alicia Medina | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-11-26 |
| 1285994285 | Alicia Medina | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2012-05-23 |
| 1932331022 | Alicia Caridad Medina | Nurse Practitioner | 10040 Sw 40th St, Miami, FL 33165-3946 | 2009-08-22 |
| Street Address |
401 S TUSTIN ST BLDG D |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861641813 | Diana Miltenburg | Social Worker | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2008-09-15 |
| 1386258614 | Adrienne Michaela Burr | Social Worker | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-09-03 |
| 1952926719 | Victoria Larissa Romero | Counselor | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-06-08 |
| 1457976235 | Viviana Mejia | Counselor | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-06-08 |
| 1215551890 | Stars Behavioral Health Group, Inc. | Community Based Residential Treatment Facility, Mental Illness | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-05-30 |
| 1790304434 | Erin Allison Pruitt | Marriage & Family Therapist | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-04-13 |
| 1891329256 | Rolando Ramirez Jr. | Licensed Psychiatric Technician | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-02-25 |
| 1417597915 | Michael Akande Abanise | Licensed Psychiatric Technician | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2020-01-13 |
| 1861039448 | Angela Marie Stephens | Counselor | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2019-12-03 |
| 1154967784 | Leonard Hartiz Coaston | Counselor | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| 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 |
|---|---|---|---|---|
| 1689284127 | Kristen Morar | Marriage & Family Therapist | 1442 N Palo Loma Pl, Orange, CA 92869-1422 | 2020-08-07 |
| 1699301002 | Mi Yun Chong Greenberg | Marriage & Family Therapist | 3024 E Chapman Ave # 238, Orange, CA 92869-3706 | 2020-03-17 |
| 1588204689 | Alyssa Ray Van Boxmeer | Marriage & Family Therapist | 8033 E Santa Cruz Ave, Orange, CA 92869-5652 | 2020-01-07 |
| 1609415900 | Katelynn Hendrix | Marriage & Family Therapist | 3419 E Chapman Ave Ste 346, Orange, CA 92869-3812 | 2020-01-03 |
| 1235780081 | Heather Amorosi Schwartz | Marriage & Family Therapist | 484 S Center St, Orange, CA 92866-2702 | 2019-09-24 |
| 1972165306 | Arlene Dayrit | Marriage & Family Therapist | 5722 E Stillwater Ave Unit 79, Orange, CA 92869-3192 | 2019-07-05 |
| 1952969578 | Linda L Paulson | Marriage & Family Therapist | 8215 E White Oak Rdg Unit 55, Orange, CA 92869-6579 | 2019-05-29 |
| 1417432402 | Brennan Peterson | Marriage & Family Therapist | 1107 E Chapman Ave Ste 201, Orange, CA 92866-2130 | 2018-09-26 |
| 1407336563 | Theresa Marie Denton | Marriage & Family Therapist | 5940 E Wildrose Dr, Orange, CA 92867-3319 | 2018-08-17 |
| 1033620166 | Lisa K Page | Marriage & Family Therapist | 531 E Chapman Ave Ste D, Orange, CA 92866-1647 | 2017-10-16 |
| Find all providers in ORANGE | ||||
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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.