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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY TATIANNA MEDINA MA.ED, LPC, NCC
NPI 1245048545
Counselor - Professional in Toms River, NJ

Active since December 19, 2024
2001 ROUTE 37 E, TOMS RIVER, NJ 08753(732) 288-9322(732) 288-9264 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, Dec 31, 2024, Dec 19, 2024 (3 updates tracked since 2024).

About Stacy Tatianna Medina Ma.ed, Lpc, Ncc NPPES

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

STACY TATIANNA MEDINA MA.ED, LPC, NCC (NPI 1245048545) is an individual professional provider in Toms River, New Jersey, licensed in New Jersey (37PC01037400) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1245048545
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY TATIANNA MEDINACredential: MA.ED, LPC, NCC
Location Address2001 ROUTE 37 EToms River, NJ 08753-7168
Mailing Address23 Gibraltar CtBarnegat, NJ 08005-2518 · (910) 258-9624
Phone(732) 288-9322
Fax(732) 288-9264
Sole ProprietorYes
Enumeration DateDecember 19, 2024
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1245048545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC01037400
Also ListedCounselorTaxonomy 101Y00000X · License 37PC01037400 (NJ)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00423000 (NJ)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 37PC01037400 (NJ)
2001 ROUTE 37 E, Toms River, NJ 08753
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Other Providers at the Same Location NPPES 8

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

THOMAS MICHAEL RODIER CADC
Counselor (Addiction (Substance Use Disorder))
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
PINNACLE TREATMENT CENTERS NJ-I, LLC
Clinic/Center (Methadone)
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
KAREN IVERSON RN
Registered Nurse (Addiction (Substance Use Disorder))
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
MR. MICHAEL BUTTERWORTH CPRS
Peer Specialist
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
THEA BERK
Counselor (Addiction (Substance Use Disorder))
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
CAROLYN PFEIFFER RN
Registered Nurse
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
MR. DANIEL REEVE MA, LPC, LCADC
Counselor (Professional)
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322
OCEAN MEDICAL SERVICE, INC
Clinic/Center (Occupational Medicine)
2001 ROUTE 37 E
TOMS RIVER, NJ 08753
Ocean County (732) 288-9322

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 Stacy Medina's NPI number?

The NPI number for Stacy Medina is 1245048545. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Stacy Medina located?

Stacy Medina practices at 2001 Route 37 E, Toms River, NJ 08753. The listed phone number is (732) 288-9322.

What is Stacy Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Stacy Medina was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.