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ANGELICA DEIDRE MEDINA CCSW
NPI 1295020022
Counselor in Questa, NM

Active since June 09, 2011
2573 STATE HIGHWAY 522, QUESTA, NM 87556(575) 586-0315 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelica Deidre Medina Ccsw NPPES

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

ANGELICA DEIDRE MEDINA CCSW (NPI 1295020022) is an individual counselor in Questa, New Mexico and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1295020022
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANGELICA DEIDRE MEDINACredential: CCSW
Location Address2573 STATE HIGHWAY 522Questa, NM 87556
Mailing AddressPo Box 2267Santa Fe, NM 87504-2267 · (505) 296-8292
Phone(575) 586-0315
Sole ProprietorNo
Enumeration DateJune 9, 2011
Last NPPES UpdateMarch 6, 2017
✔ NPI 1295020022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2573 STATE HIGHWAY 522, Questa, NM 87556
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Other Providers at the Same Location NPPES 11

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

DR. GARRETT KING CAMPBELL DDS
Dentist (General Practice)
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0331
MS. SUSAN M HAUGEN MA
Counselor (Professional)
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0315
MS. NATASHA LEE MCCANTS LCSW
Social Worker (Clinical)
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0331
DEBORAH CHAVEZ LMSW
Social Worker
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0315
JOSE ADRIAN GONZALEZ B.L.A
Community Health Worker
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0315
MRS. ISABEL FLORKO RDH
Dental Hygienist
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0315
MR. JEFFREY ROGERS LMSW
Social Worker
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0331
SUZANNE KIERMONT
Dental Hygienist
2573 STATE HIGHWAY 522
QUESTA, NM 87556
Taos County (575) 586-0315

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 Angelica Medina's NPI number?

The NPI number for Angelica Medina is 1295020022. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Angelica Medina located?

Angelica Medina practices at 2573 State Highway 522, Questa, NM 87556. The listed phone number is (575) 586-0315.

What is Angelica Medina's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Angelica Medina was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.