Active NPI
Isabel Medina, LPC
- Professional Counselor
- Camden, NJ
National Provider Identifier
1700097201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC001634
- Practice address
- 400 Market St
Camden, NJ 08102-1526 - Phone
- (856) 541-1700
- Fax
- (856) 541-4139
- NPI assigned
- May 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC001634 | PA | Primary |
Addresses
Primary practice location
400 Market St
Camden, NJ 08102-1526
Mailing address
400 Market St
Camden, NJ 08102-1526
Phone (856) 541-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC001634 | Other | PA | PC LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC001634 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700097201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MARKET ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081021526",
"telephone_number": "856-541-1700",
"fax_number": "856-541-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MARKET ST",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081021526",
"telephone_number": "856-541-1700",
"fax_number": "856-541-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ISABEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC001634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PC LICENSE",
"identifier": "PC001634",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.