Active NPI
Jose Antonio Medina, LPC ASSOCIATE
- Mental Health Counselor
- Los Fresnos, TX
National Provider Identifier
1376459826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102344
- Practice address
- 32427 Ebony Rd
Los Fresnos, TX 78566-7201 - Phone
- (956) 456-4761
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 102344 | TX | Primary |
Addresses
Primary practice location
32427 Ebony Rd
Los Fresnos, TX 78566-7201
Mailing address
32427 Ebony Rd
Los Fresnos, TX 78566-7201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1376459826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32427 EBONY RD",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785667201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32427 EBONY RD",
"city": "LOS FRESNOS",
"state": "TX",
"postal_code": "785667201",
"telephone_number": "956-456-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "102344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Fresnos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.