ERICA MEDINA


Address: 1700 Waterman St, Detroit, MI 48209-2022
Phone: 3138418900

ERICA MEDINA (NPI# 1912513839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912513839
Entity Type Individual
Full Name ERICA MEDINA
Practice Address 1700 Waterman St
Detroit
MI 48209-2022
Practice Telephone 3138418900
Mailing Telephone 3138418900
Enumeration Date 2020-09-16
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
64010108655 MI Behavioral Health & Social Service Providers

Other Providers ERICA MEDINA

NPI Name Taxonomy Address Enumeration
1760044671 Erica Medina Behavioral Analyst 3400 State St Ste G750, Salem, OR 97301-7012 2019-07-01
1659842250 Erica Riane Medina Behavior Technician 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 2018-12-08
1275000887 Erica Diane Medina Dental Hygienist 1090 Goat Springs Road, Taos, NM 87571 2018-11-01
1346526472 Erica Medina Marriage & Family Therapist 2130 Professional Dr Ste 240, Roseville, CA 95661 2011-11-03

Office Location

Street Address 1700 WATERMAN ST
City DETROIT
State MI
Zip Code 48209-2022

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437169786 Jaswant Purohit Psychiatry & Neurology 1700 Waterman St, Detroit, MI 48209-2022 2006-08-09
1952934366 Laura Owens Registered Nurse 1700 Waterman St, Detroit, MI 48209-2022 2020-02-14
1013556026 Jamice Sade' Harris Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2019-12-23
1033755269 Rodney Harold Averett Counselor 1700 Waterman St, Detroit, MI 48209-2022 2019-11-22
1124685433 Kristina Nicole Henning Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2019-05-22
1861952517 Edward Grumeretz Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2019-03-20
1679047427 Candice Taylor Technician, Other 1700 Waterman St, Detroit, MI 48209-2022 2019-01-15
1154826311 Stephanye Lavenant Case Manager/Care Coordinator 1700 Waterman St, Detroit, MI 48209-2022 2018-03-28
1356846612 Mary Regina Martinez Case Manager/Care Coordinator 1700 Waterman St, Detroit, MI 48209-2022 2018-03-28
1639670185 Kathleen Maria Gorski Social Worker 1700 Waterman St, Detroit, MI 48209-2022 2018-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316501471 El Valle Optical, Inc. Eyewear Supplier (Equipment, not the service) 1940 Campbell, Detroit, MI 48209 2019-04-24
1598211583 Elizabeth Lopez-riachi Technician, Other 1551 Cavaqlry St., Detroit, MI 48209 2016-08-30
1205210333 Yamirka Torres Behavioral Analyst 1551 Cavalry St, Detroit, MI 48209 2015-07-18
1689943359 Jessica Male Pharmacist 6223 W Jefferson Ave, Detroit, MI 48209 2011-12-23
1003070723 Mark Beard General Practice 5700 W Vernor Hwy, Detroit, MI 48209 2008-07-11
1891980330 Emery K Toth Dentist 8028 W Vernor Hwy, Detroit, MI 48209 2007-09-07
1225131881 Eva A Karmo Dentist 4607 W. Vernor Hwy, Detroit, MI 48209 2006-09-07
1023123858 Wanda E Velez Ruiz Internal Medicine 4115 W Vernor, Detroit, MI 48209 2006-08-20
1235142563 Wendy Yousif Mckay Family Medicine 5831 W Vernor, Detroit, MI 48209 2006-08-15
1316950645 Sahir H Cittan Family Medicine 5831 West Vernor, Detroit, MI 48209 2006-08-15
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407457799 Next Level Counseling and Consulting, LLC Counselor 5231 Grayton St, Detroit, MI 48224-2149 2020-11-04
1669071585 Carraus Harden Counselor 13238 N Norfolk, Detroit, MI 48235-1026 2020-10-21
1386255032 Restore Me, LLC Counselor 17836 Chandler Park Dr, Detroit, MI 48224-1340 2020-08-14
1396374617 Venus D Amos Counselor 22725 Cambridge Ave, Detroit, MI 48219-1725 2020-04-07
1487280848 A Safe Place Counseling and Community Support Services L3c Counselor 20216 Albany St, Detroit, MI 48234-2505 2020-03-18
1689211088 Tracey Johnson Counselor 14010 Monica St Apt 23, Detroit, MI 48238-2565 2019-12-04
1790320331 Faith Hope & Love Outreach Center Inc Counselor 18284 James Couzens Fwy., Detroit, MI 48235-2503 2019-11-07
1518517606 Southwest Solutions Counselor 5716 Michigan, Detroit, MI 48210 2019-09-19
1942858550 Ronald Royce Cochran Counselor 2925 Russell St, Detroit, Detroit, MI 48207 2019-08-27
1497210744 Phoenix Interventions Pllc Counselor 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 2019-01-31
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Competitor

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City DETROIT
Zip Code 48209

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Dataset Information

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.

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