Natasha Marie Medina, MED., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60969099 Issued in WA

Practice address

1104 Main St Ste M105
Vancouver, WA 98660-2969

Phone

(360) 518-7688

NPI assigned

Jun 23, 2019

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1205497013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 31ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602155",
            "telephone_number": "360-518-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MAIN ST STE M105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602969",
            "telephone_number": "360-518-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "NATASHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MED., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60969099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nooshin-Nikki Nikki Medghalchy, LAC
• Medicare Hearing Co
• Medilogic LLC
• Cinthya Isabel Medina
• Mark Anthony Medina
• Paige Alayne Medina, MSN, RN, PMHNP-BC
• Trisha Rochelle Medina
• Medmarie & Family Homecare LLC
• Mednic PC
• Zhanna Medvedev

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.