Antonio C Medina, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49505 Issued in CA

Practice address

5900 S Lake Forest Dr
Suite 300
McKinney, TX 75070-2193

Phone

(469) 708-7151

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Medinatherapy PLLC

  dba The Good Center

  • Marriage & Family Therapist
  • McKinney, TX
  • NPI 1588206411
  NPD Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1205009768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702193",
            "telephone_number": "469-708-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702193",
            "telephone_number": "469-708-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ANTONIO",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "104550",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Edge Healthcare Group PA (McKinney Regional Cancer Center)
• Medical Interpretation & Therapy
• Medical Weight Management Internal Medicine (Physicians of Medicine)
• Brenda Lisbeth Medina-Flores, M.S.,
• Cynthia Renae Medina-McMann, DDS
• Mary Medina, PMHNP
• Medinatherapy PLLC (The Good Center)
• Medrocs Corporation LLC
• Medrocs Corporation LLC (Medrocs Pharmacy)
• Medspring of Texas, PA

• Marriage & Family Therapist in McKinney, TX
• Providers in McKinney, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.