Yvette Medina, LCPC, CADC, CAMS II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1240 Euclid Ave FL 2
Berwyn, IL 60402-1005

Phone

(773) 951-0046

NPI assigned

Oct 3, 2011

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Tea for Two Therapy & Consultation Services, LLC

  • Mental Health Counselor
  • Berwyn, IL
  • NPI 1760209365
  NPD Authorized official

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1205110780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 W BEACH AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512431",
            "telephone_number": "312-320-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 EUCLID AVE FL 2",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021005",
            "telephone_number": "773-951-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "LCPC, CADC, CAMS II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Z Meccia, MD
• Medical Surgical Dermatology, SC
• Kathleen Patricia Medici, APN
• Medicor Partners, S.C
• Vanessa Medina, DMD
• Marcel Melo
• Steven A Menhennett, M.D.
• Sarah Mennella, MD
• Edgar Meraz, MA
• Mercado Foot and Ankle Clinics

• Mental Health Counselor in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.