Individual provider Active NPI

Merary Del Carmen Medina Gutierrez

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, CA
National Provider Identifier
1003624750
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
24520 Issued in CA
Practice address
1530 3Rd St Ste 206
Lincoln, CA 95648-2500
Phone
(916) 434-8927
NPI assigned
Dec 27, 2024
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24520 CA Primary

Addresses

Primary practice location

1530 3Rd St Ste 206
Lincoln, CA 95648-2500

Mailing address

1530 3Rd St Ste 206
Lincoln, CA 95648-2500
Phone (916) 757-3019

Other practice location 1

406 Sunrise Ave Ste 100
Roseville, CA 95661-4106
Phone (916) 782-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24520CAMDOrthopedic Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1003624750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 206",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482500",
            "telephone_number": "916-757-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 206",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482500",
            "telephone_number": "916-434-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Sunrise Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614106",
            "country_code": "US",
            "telephone_number": "916-782-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA GUTIERREZ",
        "first_name": "MERARY",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "24520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.