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

Q: 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.

Q: What is Mayra Medina's specialty?

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

Q: 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 21 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.

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment

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: October 25, 2026.

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

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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 and is a graduate of Other (2018).

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

Medical School CMSOtherGraduated 2018

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mayra Patricia Medina Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355867862

PECOS Enrollment IDI20250428003840

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.

Medicare Billing Reassignment

Medicare enrollment records show Mayra Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ventura

1.5 mi

Community/Behavioral Health

1900 E LOS ANGELES AVE STE 100
Simi Valley, CA 93065

Reassigned Medicare billing, California enrollment
710 clinicians in this Medicare group

NPI 1013139658 (805) 577-1724

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16

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