Active NPI
Nancy Medina-Schram, MFTI
- Mental Health Counselor
- Rowland Heights, CA
National Provider Identifier
1447651781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF67963
- Practice address
- 2120 Nowell Ave
Rowland Heights, CA 91748-3831 - Phone
- (626) 806-9022
- NPI assigned
- Sep 5, 2014
- 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 | IMF67963 | CA | Primary |
Addresses
Primary practice location
2120 Nowell Ave
Rowland Heights, CA 91748-3831
Mailing address
2120 Nowell Ave
Rowland Heights, CA 91748-3831
Phone (626) 806-9022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IMF67963 | Other | CA | BOARD OF BEHAVIORAL SCIENCES LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF67963 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1447651781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 NOWELL AVE",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483831",
"telephone_number": "626-806-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 NOWELL AVE",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917483831",
"telephone_number": "626-806-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA-SCHRAM",
"first_name": "NANCY",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF67963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES LICENSE",
"identifier": "IMF67963",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.