JACQUELINE MEDINA
NPI 1295120954
Counselor - Mental Health in Yonkers, NY

Q: What is Jacqueline Medina's NPI number?

The NPI number for Jacqueline Medina is 1295120954. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Jacqueline Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Medina was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

73 MARKET ST, YONKERS, NY 10710(914) 848-8030(914) 848-8031 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 31, 2024, Jun 11, 2024 (2 updates tracked since 2024).

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About Jacqueline Medina NPPES

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

JACQUELINE MEDINA (NPI 1295120954) is an individual mental health provider in Yonkers, New York and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295120954

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE MEDINA

Location Address73 MARKET STYonkers, NY 10710-7616

Mailing Address800 Westchester Ave Ste N715Rye Brook, NY 10573-1369 · (908) 588-3635 · Fax (908) 934-9350

Phone(914) 848-8030

Fax(914) 848-8031

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 31, 2015

Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1295120954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

73 MARKET ST, Yonkers, NY 10710

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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 and accepts Medicare assignment

Jacqueline Medina 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 ID9234675778

PECOS Enrollment IDI20240722000328

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.

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.

RUBIA FUENTES FNP

Nurse Practitioner (Family)

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 848-8073

DR. RONALD B DENNETT MD

Internal Medicine

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 848-8085

DR. SUSAN A. KAMINSKI M.D.

Ophthalmology

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 682-6454

DR. NEELOFAR KHALID BUTT M.D.

Pediatrics

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 607-4730

MS. CHANAI RAIFORD

Case Manager/Care Coordinator

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 963-4631

DR. JOSHUA WALDMAN M.D.

Obstetrics & Gynecology

73 MARKET ST, SUITE 212
YONKERS, NY 10710

Westchester County (914) 831-6830

DR. THOMAS A ANGELLO MD

Pediatrics

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 423-7700

MS. TALIA GREEN LCSW

Social Worker

73 MARKET ST
YONKERS, NY 10710

Westchester County (914) 848-8030

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 Jacqueline Medina's NPI number?

The NPI number for Jacqueline Medina is 1295120954. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Jacqueline Medina located?

Jacqueline Medina practices at 73 Market St, Yonkers, NY 10710. The listed phone number is (914) 848-8030.

What is Jacqueline Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Medina enrolled in Medicare?

Yes. Jacqueline Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Medina was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.