SANDRA ELAINE MEDINA I (NPI# 1164589636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164589636 |
| Entity Type | Individual |
| Full Name | SANDRA ELAINE MEDINA I |
| Practice Address |
2085 E Dakota Ave Fresno CA 93726-4804 |
| Mailing Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Practice Telephone | 5596001500 |
| Mailing Telephone | 5596009180 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942898 | Sandra Leticia Medina | Technician | 3011 English Oaks Blvd, Pearland, TX 77584-7000 | 2018-02-21 |
| 1528598141 | Sandra Medina | Behavior Technician | 3571 Sw 117th Ave Apt 205, Miami, FL 33175-1754 | 2017-06-15 |
| 1881884153 | Sandra Medina | Social Worker | 122 N 6th St, Custer, SD 57730-1647 | 2007-08-01 |
| 1205054152 | Sandra Lorena Medina | Counselor | 301 N Joe Wilson Rd Apt 1512, Cedar Hill, TX 75104-2341 | 2007-04-23 |
| 1568764421 | Sandra Ninoska Medina | Homemaker | 1905 Nw 82nd Ave, Doral, FL 33126-1011 | 2010-11-29 |
| 1437465606 | Sandra M Medina | Occupational Therapy Assistant | 400 W Washington Ave, Chrisman, IL 61924-1042 | 2010-08-26 |
| 1871795823 | Sandra Angelica Medina | Licensed Psychiatric Technician | 2900 E Del Mar Blvd, Pasadena, CA 91107-4375 | 2007-06-01 |
| 1245360023 | Sandra Medina | Social Worker | 5150 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90804-3312 | 2007-03-07 |
| Street Address |
2085 E DAKOTA AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942305826 | Michelle Renee Levalley | Psychologist | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2006-09-14 |
| 1124454632 | Joshua James Cochron | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2013-09-17 |
| 1588912364 | Steven Scott Scheller | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2012-08-27 |
| 1619103355 | Jaime Lee Bacon | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2009-06-09 |
| 1356504922 | Teresa Ann Woods | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2008-07-03 |
| 1205098621 | Demetria Costa | Case Management | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2008-06-26 |
| 1992852396 | Lorri Jayne Roscom | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2007-01-05 |
| 1518028406 | Kee Lee I | Counselor | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2006-12-13 |
| 1518026418 | Susan A Middleton | Social Worker | 2085 E Dakota Ave, Fresno, CA 93726-4804 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| 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 |
|---|---|---|---|---|
| 1710592621 | Marcus Zachary, D.o., P.C. | Counselor | 7111 N Fresno St Ste 200, Fresno, CA 93720-2959 | 2020-09-09 |
| 1871110932 | The Fresno Center | Counselor | 4891 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-07-06 |
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1679123723 | Sandy Ounmano | Counselor | 4855 E King Cyn Rd, Fresno, CA 93727-3811 | 2019-09-19 |
| 1609422815 | Alicia Becton | Counselor | 7110 W San Bruno Ave, Fresno, CA 93723-4069 | 2019-08-13 |
| 1053963645 | Stephanie Elizabeth Trevino | Counselor | 5162 E Braly Ave, Fresno, CA 93727-5906 | 2019-07-12 |
| 1386204691 | Giovanni Ismael Arreaga | Counselor | 4411 E Kings Canyon Rd # 310, Fresno, CA 93702-3604 | 2019-06-18 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1235607409 | Sandra Elizabeth Valle | Counselor | 496 South Barton Avenue, Fresno, CA 93750-0001 | 2018-11-06 |
| Find all providers in FRESNO | ||||
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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.