Rachael Medina, LMFT

Individual provider Active NPI Marriage & Family Therapist · East Berlin, CT

NPI 1992424477 · NPPES record last updated Nov 28, 2025

Key facts

NPI
1992424477
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
3424 (CT)
Practice address
1224 Mill St BLDG B
East Berlin, CT 06023-1159
Phone
(860) 406-4894
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241216003688 CT Practitioner - Marriage and Family Therapist 1456887348 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist Current
since Nov 13, 2024
Accepting new patients
Mountain Laurel Mental Health LLC Marriage & Family Therapist Current Accepting new patients

Locations

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3424 CT Yes

Addresses

Primary practice location

1224 Mill St BLDG B
East Berlin, CT 06023-1159

Mailing address

1224 Mill St BLDG B
East Berlin, CT 06023-1159
Phone (860) 406-4894

Other providers in East Berlin, CT

All providers in East Berlin, CT · Marriage & Family Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.