Individual provider Active NPI

Alysia Pavlenko Medina, LPC

  • Mental Health Counselor
  • Westmont, IL
National Provider Identifier
1609791888
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178022733 Issued in IL
Practice address
700 E Ogden Ave Ste 304
Westmont, IL 60559-5554
Phone
(512) 368-6408
NPI assigned
Aug 13, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178022733 IL Primary

Addresses

Primary practice location

700 E Ogden Ave Ste 304
Westmont, IL 60559-5554

Mailing address

2 Elm Creek Dr Apt 508
Elmhurst, IL 60126-5232
Phone (512) 368-6408

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

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1609791888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ELM CREEK DR APT 508",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265232",
            "telephone_number": "512-368-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 304",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595554",
            "telephone_number": "512-368-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLENKO MEDINA",
        "first_name": "ALYSIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178022733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.