DONNA ELIZABETH MEDINA LADC
NPI 1275007353
Counselor - Addiction (Substance Use Disorder) in New London, CT
About Donna Elizabeth Medina Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA ELIZABETH MEDINA LADC (NPI 1275007353) is an individual addiction (substance use disorder) provider in New London, Connecticut, licensed in Connecticut (001224) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Donna Elizabeth Medina Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Donna Medina's NPI number?
The NPI number for Donna Medina is 1275007353. It was assigned to this individual provider in the NPPES registry on January 11, 2019.
Where is Donna Medina located?
Donna Medina practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.
What is Donna Medina's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Donna Medina enrolled in Medicare?
Yes. Donna Medina is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Donna Medina was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Donna Elizabeth Medina, LADC · NPI 1275007353
Addiction (Substance Use Disorder) provider in New London, Connecticut. Individual provider, active in the CMS NPPES registry since January 11, 2019.
## Identity
- **NPI:** 1275007353 (Entity type: Individual)
- **Enumerated:** January 11, 2019
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 001224 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 365 MONTAUK AVE, New London, CT 06320-4700
- **Phone:** (860) 442-0711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** November 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275007353) · Data from the CMS NPPES public registry.