Active NPI
Valerie Susann Medina, LMFT
- Marriage & Family Therapist
- Colorado Springs, CO
National Provider Identifier
1992363147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT.0002559
- Practice address
- 7932 Bayonet Cir Apt D
Colorado Springs, CO 80902-4693 - Phone
- (951) 231-7299
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT.0002559 | CO | Primary |
| Marriage & Family Therapist | 106H00000X | 140511 | CA |
Addresses
Primary practice location
7932 Bayonet Cir Apt D
Colorado Springs, CO 80902-4693
Mailing address
7932 Bayonet Cir Apt D
Colorado Springs, CO 80902-4693
Phone (951) 231-7299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
731 N Weber St
Suite 215
Colorado Springs, CO 80903-1019
7932 Bayonet Cir
Apt D
Colorado Springs, CO 80902-4693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140511 | CA | MD | Marriage & Family Therapist |
| MFT.0002559 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Therapy & Coaching PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Olive Crest | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Colorado Springs, CO
- NPI 1790503597
-
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
- NPI 1780322313
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1316101322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717286400000",
"number": "1992363147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7932 BAYONET CIR APT D",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809024693",
"telephone_number": "951-231-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7932 BAYONET CIR APT D",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809024693",
"telephone_number": "951-231-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "VALERIE",
"middle_name": "SUSANN",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2024-06-02",
"certification_date": "2024-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFT.0002559",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140511",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.