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ELLEN ROSE MEDINA
NPI 1356413926
Counselor - Mental Health in Chula Vista, CA

Active since November 15, 2006
1105 BROADWAY STE 206, CHULA VISTA, CA 91911(619) 426-4872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ellen Rose Medina NPPES

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

ELLEN ROSE MEDINA (NPI 1356413926) is an individual mental health provider in Chula Vista, California and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1356413926
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLEN ROSE MEDINA
Location Address1105 BROADWAY STE 206Chula Vista, CA 91911-2767
Mailing Address1105 Broadway Ste 206Chula Vista, CA 91911-2767 · (619) 426-4872
Phone(619) 426-4872
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356413926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1105 BROADWAY STE 206, Chula Vista, CA 91911
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Other Providers at the Same Location NPPES 3

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

MISS JOANNA BEER
Counselor (Mental Health)
1105 BROADWAY STE 206
CHULA VISTA, CA 91911
San Diego County (619) 426-4872
KEISHA LAVON WILLIAMS
Counselor (Mental Health)
1105 BROADWAY STE 206
CHULA VISTA, CA 91911
San Diego County (619) 426-4872
MR. SAUL PRECIADO-GARCIA
Case Manager/Care Coordinator
1105 BROADWAY STE 206
CHULA VISTA, CA 91911
San Diego County (619) 426-4872

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 Ellen Medina's NPI number?

The NPI number for Ellen Medina is 1356413926. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Ellen Medina located?

Ellen Medina practices at 1105 Broadway Ste 206, Chula Vista, CA 91911. The listed phone number is (619) 426-4872.

What is Ellen Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Ellen Medina was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.