Angela Cecilia Medina, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

65911 Issued in TX

Practice address

2607 Kenton Hollow LN
Houston, TX 77089-1534

Phone

(832) 606-9506

NPI assigned

Jan 24, 2013

Last updated

May 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renewing Hope Counseling LLCGroup PAC ID 5597254185, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renewing Hope Counseling, LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1700110871
  Medicare reassignment Care Compare group NPD
• Innova Mind and Body

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
  • NPI 1649959818
  NPD
• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1689912743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KENTON HOLLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891534",
            "telephone_number": "832-606-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KENTON HOLLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891534",
            "telephone_number": "832-606-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7635 Canal St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770121143",
            "country_code": "US",
            "telephone_number": "713-660-1880",
            "fax_number": "713-926-9105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ANGELA",
        "middle_name": "CECILIA",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "65911",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DUNN",
            "identifier": "1245556885",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NAVIGATION",
            "identifier": "1609848332",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC TAXONOMY",
            "identifier": "261QF0400X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maricruz Medina-Marquis, M.D.
• Glorimar Medina-Rivera, M.D.
• Amilda Medina
• Ana Beatriz Medina, SLP ASSISTANT
• Anastacia Medina, P.T.A.
• Arturo Medina I, NNP-BC
• Ayda Maritza Medina
• Brooke Ellis Medina, LCSW
• Deanne Irene Medina, LCSW
• Delphi Medina

• Mental Health Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.