MISS GLENDA ENET MEDINA (NPI# 1114233103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114233103 |
| Entity Type | Individual |
| Full Name | MISS GLENDA ENET MEDINA |
| Practice Address |
15 Union St Ste 557 Lawrence MA 01840-1866 |
| Mailing Address |
15 Union St Suite 557 Lawrence MA 01840 |
| Practice Telephone | 9786512544 |
| Practice Fax Number | 9786862954 |
| Mailing Telephone | 9786512544 |
| Mailing Fax Number | 9786862954 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | S888810708 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891062808 | Glenda Lee Medina | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2011-11-18 |
| 1790069748 | Glenda Fabiola Medina | Nurse Practitioner | 6560 Fannin St Ste 1878, Houston, TX 77030-2752 | 2011-10-07 |
| Street Address |
15 UNION ST STE 557 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01840-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154475804 | Jennifer Stultz | Social Worker | 15 Union St Ste 557, Lawrence, MA 01840-1866 | 2007-01-22 |
| 1881095693 | Ashley Rutan | Counselor | 15 Union St Ste 557, Lawrence, MA 01840-1823 | 2014-09-11 |
| 1871905455 | Janny Carpio | Counselor | 15 Union St Ste 557, Lawrence, MA 01840-1823 | 2014-05-29 |
| 1083032239 | Merary Taveras | Counselor | 15 Union St Ste 557, Lawrence, MA 01840-1823 | 2014-04-04 |
| 1073930210 | Holly Hilkey | Counselor | 15 Union St Ste 557, Lawrence, MA 01840-1823 | 2014-03-26 |
| 1770826133 | Stephanie E Santiago | Social Worker | 15 Union St Ste 557, Lawrence, MA 01840-1866 | 2013-04-03 |
| 1174869770 | Ashley Evette Cruz | Counselor | 15 Union St Ste 557, Lawrence, MA 01840-1866 | 2012-12-31 |
| 1245517655 | Jacqueline Rosa | Behavioral Analyst | 15 Union St Ste 557, Lawrence, MA 01840-1866 | 2011-11-14 |
| 1922394147 | Stephanie Almonte | Counselor | 15 Union St Ste 557, Lawrence, MA 01840-1866 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293569 | Cure-aid Pharmacy Inc | Pharmacy | Cure-aid Pharmacy, 203 Essex Street, Lawrence, MA 01840 | 2020-01-06 |
| 1053819482 | Allied Pharmacy Inc. | Pharmacy | 10-12 Hampshire Street, Lawrence, MA 01840 | 2018-01-31 |
| 1720598626 | Natalie Perez | Counselor | 15 South Union St, 200, Lawrence, MA 01840 | 2017-10-05 |
| 1932636271 | Iluminada De La Cruz | Counselor | 2 Museum Square Apt 412, Lawrence, MA 01840 | 2017-05-17 |
| 1831642867 | Karina Tremiti | Counselor | 599 Canal St, 5th Fl, Lawrence, MA 01840 | 2016-07-26 |
| 1467733717 | Suzanne Beth Macphail | Counselor | 11 Union Street, Lawrence, MA 01840 | 2011-08-31 |
| 1831416767 | Db Practice Management, Inc | Dentist | 488 Essex St, Lawrence, MA 01840 | 2010-05-03 |
| 1033341169 | Michele Davis | Counselor | 15 Union Street, Second Floor, Lawrence, MA 01840 | 2009-08-24 |
| 1447401856 | Erin Grace Mooney | Social Worker | 439 South Union Street, Suite 207a, Lawrence, MA 01840 | 2008-10-03 |
| 1215127840 | Marcia Elaine Nelson-vancini | Nurse Practitioner | Lahey Health Behavioral Services, Inc., 12 Methuen Street, Lawrence, MA 01840 | 2007-07-30 |
| Find all providers in zip 01840 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877487 | Micaela Zilberberg | Counselor | 170 Common St Ste 215, Lawrence, MA 01840-1558 | 2020-03-26 |
| 1295201507 | Khoa Thai | Counselor | 360 Merrimack St # J, Lawrence, MA 01843-1740 | 2018-10-15 |
| 1710476304 | William R. Perez | Counselor | 137 Arlington St Apt B, Lawrence, MA 01841-1647 | 2018-05-09 |
| 1356843023 | Cindy L Parra | Counselor | 87 Abbott St, Lawrence, MA 01843-1631 | 2018-03-08 |
| 1205340205 | Sheila Allen | Counselor | 165 Marston St, Lawrence, MA 01841-1526 | 2017-11-29 |
| 1720598626 | Natalie Perez | Counselor | 15 South Union St, 200, Lawrence, MA 01840 | 2017-10-05 |
| 1942710918 | Diana Estela Acevedo | Counselor | 264 E Haverhill St Apt 16, Lawrence, MA 01841-1455 | 2017-10-04 |
| 1518485903 | Darleni F Vlaun | Counselor | 574 Haverhill St Fl 2, Lawrence, MA 01841-4235 | 2017-09-06 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1235666165 | Alphonsina Disla | Counselor | 12 Hobson St, Lawrence, MA 01841-4940 | 2017-05-23 |
| Find all providers in LAWRENCE | ||||
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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.