Courtney Medina

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00543100 Issued in NJ

Practice address

80 River St Ste 302
Hoboken, NJ 07030-5619

Phone

(973) 291-2142

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1730891250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEADOWLANDS PKWY UNIT 323",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 RIVER ST STE 302",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305619",
            "telephone_number": "973-291-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Grove St # 202",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023601",
            "country_code": "US",
            "telephone_number": "973-291-2142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "21-045",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00543100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Joseph McNamara, M.D.
• Shannon Ohern McNamara, MD
• George E. McQuilkin, M.D.
• John Mead, MD
• Medicine Man RX LLC
• Judith Meer, PT, DPT, CSCS
• Harendra Umangla Mehta, M.D.
• Harshna Mehta, M.D.
• Ragini Mehta, D.O.
• Clarice Mary Melanson, DO

• Counselor in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.