Faith Medina

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704014191 Issued in VA

Practice address

3235 Academy Ave Ste 303
Portsmouth, VA 23703-3200

Phone

(757) 454-2112

Fax

(855) 938-3318

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2801/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Village Counseling, Advocacy, and Mental Health Services, LLC

  • Community/Behavioral Health Agency
  • Portsmouth, VA
  • NPI 1760979827

  Counselor

  NPD
• Whole Village Healing Services

  • Health Psychologist
  • Portsmouth, VA
  • NPI 1205529849
  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1083385850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7693",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 303",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-454-2112",
            "fax_number": "855-938-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704014191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medcare Weight Loss Therapy LLC
• Tracey Ann Medeiros, MS, CCC-SLP
• Medfrebs, Inc
• Medfres, Inc
• Andolyn Medina Powell
• James Adelbert Meeker, IDC
• Meenedbriidgesllc
• Holly M Meise, DDS
• Lesley Ann Melendez-Rivero, PSY D
• Samantha Mellinger, PHARMD, RPH

• Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.