Alyssa Medina

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2025-0155 Issued in NM

Practice address

1194 Saint Francis LN Unit 3
Taos, NM 87571-8240

Phone

(575) 779-2828

NPI assigned

Jul 13, 2022

Last updated

Jul 27, 2026By the provider in NPPES

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

Practice roles

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.

• Lancer Health Group, LLC

  • Multi-Specialty Clinic/Center
  • Raton, NM
  • NPI 1700345436
  NPD (past)
• Luna Vista Behavioral Health Services

  • Community/Behavioral Health Agency
  • Taos, NM
  • NPI 1831998004

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1760116925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3100",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875573100",
            "telephone_number": "575-613-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 SAINT FRANCIS LN UNIT 3",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875718240",
            "telephone_number": "575-779-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7278 Highway 518",
            "address_purpose": "LOCATION",
            "city": "Ranchos DE Taos",
            "state": "NM",
            "postal_code": "875578830",
            "country_code": "US",
            "telephone_number": "575-613-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2025-0155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison McKinley
• Sean McLain
• Mary R McLellan, LMSW
• Bonnie McNairn, LMT
• Rose Mary Medina-Dominguez, LCSW
• Catherine Medina, CCHW
• Erica Diane Medina, RDH
• Yvette Medina
• Jazmine Medrano
• Rhona Louise Meeks

• Professional Counselor in Taos, NM
• Providers in Taos, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.