Allyson M Medina, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68208 Issued in TX

Practice address

122 Shadywood LN
San Antonio, TX 78216-7334

Phone

(713) 562-8644

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Allyson Perez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1437893914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SHADYWOOD LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167334",
            "telephone_number": "713-562-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SHADYWOOD LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167334",
            "telephone_number": "713-562-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALLYSON",
        "middle_name": "M",
        "credential": "LPC,  LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68208",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "PEREZ",
            "credential": "LPC,  LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Marie Medina Perez, LPC
• Medina Pharmacy, LLC
• Adlai Medina
• Alejandra Yaizeth Medina, OTR
• Alice Medina, LCDC
• Alondra Medina, RBT
• Alyza Medina
• Amber Medina
• Analise Medina
• Arthur A Medina Jr., O.D.

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.