Individual provider Active NPI

Zaida Medina, LCPC

  • Professional Counselor
  • Vernon Hills, IL
National Provider Identifier
1497896120
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006654 Issued in IL
Practice address
300 Center Dr Ste 103
Vernon Hills, IL 60061-1525
Phone
(224) 381-2824
NPI assigned
Feb 8, 2007
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178003554 IL
Professional Counselor 101YP2500X LPCC15227 CA
Professional Counselor 101YP2500X 9442 LA
Professional Counselor 101YP2500X 180006654 IL Primary
Professional Counselor 101YP2500X 7277 SC
Mental Health Counselor 101YM0800X TPMC2088 FL
Professional Counselor 101YP2500X 88984 TX
Mental Health Counselor 101YM0800X LMHC10000725 MA
Professional Counselor 101YP2500X 0701014063 VA

Addresses

Primary practice location

300 Center Dr Ste 103
Vernon Hills, IL 60061-1525

Mailing address

3583 Backshore Dr
Mount Pleasant, SC 29466-7504
Phone (224) 381-2824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521000079 SC Practitioner - Mental Health Counselor 7416426259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2261 Market St
San Francisco, CA 94114-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPMC2088FLMDMental Health Counselor
LMHC10000725MAMDMental Health Counselor
LPCC15227CAMDProfessional Counselor
178003554ILMDProfessional Counselor
180006654ILMDProfessional Counselor
9442LAMDProfessional Counselor
7277SCMDProfessional Counselor
88984TXMDProfessional Counselor
0701014063VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Birth to Three & Beyond Pediatric Therapies, LLC Professional Past Accepting new patients
The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zaidamedina@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1497896120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3583 BACKSHORE DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667504",
            "telephone_number": "224-381-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR STE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "224-381-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ZAIDA",
        "name_prefix": "Dr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178003554",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC15227",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "9442",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006654",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7277",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC2088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88984",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000725",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.