Valerie Medina, LGPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP13618 Issued in MD

Practice address

64 Central Ave W # 128
Edgewater, MD 21037-2622

Phone

(240) 847-4015

Fax

(888) 690-5305

NPI assigned

Feb 3, 2023

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Mirror Mental Health

  • Counseling Psychologist
  • Crofton, MD
  • NPI 1093289985
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1942906672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CENTRAL AVE W # 128",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372622",
            "telephone_number": "240-847-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CENTRAL AVE W # 128",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372622",
            "telephone_number": "240-847-4015",
            "fax_number": "888-690-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "VALERIE",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP13618",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Rose McInerney, M. D.
• Heather J McMahan, OTR/L
• Kelly McNew, LCPC
• Brendon McQuighan, PHARMD
• Mdics Rehabilitative Services LLC
• Christina M Meighen, LCPC
• Mark Melanson
• Melissa Ramsey CRNP
• Monee Mickens, MD
• Virginia Michelle Miller, DPT, PT

• Mental Health Counselor in Edgewater, MD
• Providers in Edgewater, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.