Active NPI
Jose Javier Medina Jr., MA, LMFT
- Marriage & Family Therapist
- Denver, CO
National Provider Identifier
1922519487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 124026
- Practice address
- 1905 N Sherman St Ste 2001400
Denver, CO 80203-1140 - Phone
- (408) 634-5971
- NPI assigned
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 124026 | CA | Primary |
Addresses
Primary practice location
1905 N Sherman St Ste 2001400
Denver, CO 80203-1140
Mailing address
1905 N Sherman St Ste 2001400
Denver, CO 80203-1140
Phone (408) 634-5971
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124026 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1922519487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 N SHERMAN ST STE 2001400",
"city": "DENVER",
"state": "CO",
"postal_code": "802031140",
"telephone_number": "408-634-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 N SHERMAN ST STE 2001400",
"city": "DENVER",
"state": "CO",
"postal_code": "802031140",
"telephone_number": "408-634-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "JOSE",
"middle_name": "JAVIER",
"name_suffix": "Jr.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-23",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "124026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.