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MAYRA PATRICIA MEDINA LCSW
NPI 1275844060
Social Worker - Clinical in Simi Valley, CA

Active since June 25, 2010PECOS Enrolled
3150 E LOS ANGELES AVE, SIMI VALLEY, CA 93065(805) 577-0836 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 7, 2023, Jul 19, 2022, Jun 11, 2021 and 1 more (4 updates tracked since 2019).

About Mayra Patricia Medina Lcsw NPPES

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

MAYRA PATRICIA MEDINA LCSW (NPI 1275844060) is an individual clinical provider in Simi Valley, California, licensed in California (128103) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275844060
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAYRA PATRICIA MEDINACredential: LCSW
Location Address3150 E LOS ANGELES AVESimi Valley, CA 93065-3940
Mailing Address3150 E Los Angeles AveSimi Valley, CA 93065-3940 · (805) 577-0836
Phone(805) 577-0836
Sole ProprietorYes
Enumeration DateJune 25, 2010
Last NPPES UpdateJanuary 15, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1275844060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 128103
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3150 E LOS ANGELES AVE, Simi Valley, CA 93065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Patricia Medina Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.32 – $185.36
Typical copayment $0.00 (range $15.58 – $46.34)
Most-billed visit code NA
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

JEFFREY ALAN AVANTS MA, LMFT, CADC II,
Marriage & Family Therapist
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-0839
COUNTY OF VENTURA
Community/Behavioral Health
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-1724
MRS. JEANNE M COLON
Case Manager/Care Coordinator
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-0830
VENTURA COUNTY BEHAVIORAL HEALTH
Clinic/Center (Adult Mental Health)
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-0830
MR. DAVID RICHARDSON HAGERTY
Counselor (Addiction (Substance Use Disorder))
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-0830
MRS. ERIN MICHELLE OPDAHL LMFT
Marriage & Family Therapist
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-1724
MRS. SHALINI RITESH SOLANKI M.ED
Counselor (Addiction (Substance Use Disorder))
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-0839
SOL AZUAJE LVN
Licensed Vocational Nurse
3150 E LOS ANGELES AVE
SIMI VALLEY, CA 93065
Ventura County (805) 577-0830

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 Mayra Medina's NPI number?

The NPI number for Mayra Medina is 1275844060. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Mayra Medina located?

Mayra Medina practices at 3150 E Los Angeles Ave, Simi Valley, CA 93065. The listed phone number is (805) 577-0836.

What is Mayra Medina's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mayra Medina enrolled in Medicare?

Yes. Mayra Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mayra Medina was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.