Active NPI
Rosario Medina, MA
- Mental Health Counselor
- Durham, NC
National Provider Identifier
1285861286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1415 W. Hwy 54
Suite # 102
Durham, NC 27707-5598 - Phone
- (919) 544-9300
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1415 W. Hwy 54
Suite # 102
Durham, NC 27707-5598
Mailing address
233 Racine Dr Apt 7
Wilmington, NC 28403-1946
Phone (919) 593-2395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301034 | Medicaid | NC |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Direction Inc | Past | Accepting new patients | |
| Right Direction Counseling, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Right Direction, Inc.
- Case Management Agency
- Durham, NC
- NPI 1316014806
-
- Developmentally Disabled Services Day Training Agency
- Durham, NC
- NPI 1154535029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1285861286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 RACINE DR APT 7",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031946",
"telephone_number": "919-593-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 W. HWY 54",
"address_2": "SUITE # 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075598",
"telephone_number": "919-544-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ROSARIO",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301034",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.