Individual provider Active NPI

Eleanor Medina, MFTC

  • Mental Health Counselor
  • Greenwood Village, CO
National Provider Identifier
1255103719
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13790 Issued in CO
Practice address
6635 S Dayton St Ste 310
Greenwood Village, CO 80111-6156
Phone
(503) 754-6246
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Mental Health Counselor 101YM0800X 13790 CO Primary

Addresses

Primary practice location

6635 S Dayton St Ste 310
Greenwood Village, CO 80111-6156

Mailing address

6635 S Dayton St Ste 310
Greenwood Village, CO 80111-6156
Phone (503) 754-6246

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
13790COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Makaranda PLLC Current Accepting new patients

Locations

6635 S Dayton St
Ste 310
Greenwood Village, CO 80111
Phone (720) 970-2889

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1255103719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 S DAYTON ST STE 310",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116156",
            "telephone_number": "503-754-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 S DAYTON ST STE 310",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801116156",
            "telephone_number": "503-754-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ELEANOR",
        "credential": "MFTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "13790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.