Kadisha L Medina, CASAC-T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

937 Fulton St
Brooklyn, NY 11238-2347

Phone

(718) 789-1212

Fax

(718) 789-1759

NPI assigned

Jun 10, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1508790031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382347",
            "telephone_number": "718-789-1212",
            "fax_number": "718-789-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382347",
            "telephone_number": "718-789-1212",
            "fax_number": "718-789-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "KADISHA",
        "middle_name": "L",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Medina, MSW
• Gladys Medina
• Jeremy Medina
• Jillian Aubrey Medina
• Jose Medina, PA
• Kiara Medina
• Marina Medina
• Paul Vincent Yambot Medina, MD
• Saul Medina, MASSAGE THERAPIST
• Tessa Sherryann Medina, DOE

• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.