Medina's Way

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1423-226 Issued in WI

Legal business name

MEDINA'S WAY

Practice address

6815 W Capitol Ave
#202
Milwaukee, WI 53216

Phone

(414) 751-8950

Fax

(414) 461-2005

NPI assigned

Sep 12, 2012

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Nita Medina, LPC, PSYCHOTHERAPISTNPI 1801069497

Title

Executive Director

Phone

(414) 719-6633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Medina, MS. ED.

  • Social Worker
  • Milwaukee, WI
  • NPI 1801069497
  Authorized official Same address or phone

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1871843334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 W CAPITOL AVE",
            "address_2": "#202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-751-8950",
            "fax_number": "414-461-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W CAPITOL AVE",
            "address_2": "#202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53216",
            "telephone_number": "414-751-8950",
            "fax_number": "414-461-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA'S WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "NITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-719-6633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, PSYCHOTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "1423-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Medina, SACIT
• Heidi L Medina, APNP NP
• Marissa Veronica Medina
• Mark Allen Medina, PTA10
• Sharon Medina, MS. ED.
• Ashley Medinger, PHARMD
• Tia C Medley, NP
• Erika Rose Medlock, PHARMD
• Joshua E Medow, M.D.
• Medpartners, Inc

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.