Active NPI
Yolanda Isabel Medina, LMFT
- Marriage & Family Therapist
- Claremont, CA
National Provider Identifier
1487259560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT147007
- Practice address
- 675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475 - Phone
- (925) 282-1778
- Fax
- (415) 296-5299
- NPI assigned
- Dec 4, 2020
- Last updated
- Aug 2, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APCC8000 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT147007 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | AMFT119528 | CA |
Addresses
Primary practice location
675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475
Mailing address
675 W Foothill Blvd Ste 200
Claremont, CA 91711-3475
Phone (925) 282-1778
Other practice location 1
18501 Gale Ave
City Of Industry, CA 91748-1329
Phone (626) 626-4997
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC8000 | CA | MD | Mental Health Counselor |
| AMFT119528 | CA | MD | Marriage & Family Therapist |
| LMFT147007 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Women and Family Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ADAS Mariposa Women's Center CalWORKs Orange
- Case Management Agency
- Orange, CA
- NPI 1245535293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1487259560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W FOOTHILL BLVD STE 200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113475",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W FOOTHILL BLVD STE 200",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917113475",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
}
],
"practiceLocations": [
{
"address_1": "18501 Gale Ave",
"address_purpose": "LOCATION",
"city": "City Of Industry",
"state": "CA",
"postal_code": "917481329",
"country_code": "US",
"telephone_number": "626-626-4997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "YOLANDA",
"middle_name": "ISABEL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC8000",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT147007",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT119528",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.