ANGELA RAE MEDINA LCPC
NPI 1225617418
Counselor - Mental Health in Chicago, IL

Active since April 05, 2021
2456 W 38TH ST, CHICAGO, IL 60632(773) 823-7743 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Rae Medina Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA RAE MEDINA LCPC (NPI 1225617418) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.013465) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1225617418
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELA RAE MEDINACredential: LCPC
Location Address2456 W 38TH STChicago, IL 60632-1008
Mailing AddressPo Box 388750Chicago, IL 60638-8750 · (773) 266-7621
Sole ProprietorNo
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
NPI 1225617418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.013465
2456 W 38TH ST, Chicago, IL 60632

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
2456 W 38TH ST
CHICAGO, IL 60632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Medina's NPI number?

The NPI number for Angela Medina is 1225617418. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Angela Medina located?

Angela Medina practices at 2456 W 38th St, Chicago, IL 60632. The listed phone number is (773) 823-7743.

What is Angela Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Angela Medina was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.