MR. EDUARDO MEDINA JR. LMHC
NPI 1487166146
Counselor - Mental Health in Tukwila, WA

Q: What is Eduardo Medina's NPI number?

The NPI number for Eduardo Medina is 1487166146. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Q: What is Eduardo 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 Eduardo Medina was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 02, 2017PECOS EnrolledAccepts Medicare Assignment

15455 65TH AVE S, TUKWILA, WA 98188(206) 721-5170(360) 353-9440 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Dec 30, 2025, Jul 23, 2024 and 2 more (5 updates tracked since 2017).

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About Mr. Eduardo Medina Jr. Lmhc NPPES

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

MR. EDUARDO MEDINA JR. LMHC (NPI 1487166146) is an individual mental health provider in Tukwila, Washington, licensed in Washington (LH70022692) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1487166146

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. EDUARDO MEDINA JR.Credential: LMHC

Location Address15455 65TH AVE STukwila, WA 98188-2534

Mailing AddressPo Box 2429Longview, WA 98632-8486 · (360) 353-9494 · Fax (360) 353-9440

Phone(206) 721-5170

Fax(360) 353-9440

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 2, 2017

Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1487166146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH70022692

15455 65TH AVE S, Tukwila, WA 98188

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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

Mr. Eduardo Medina Jr. Lmhc 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 ID8426538067

PECOS Enrollment IDI20260213001472

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.

MS. JENAYA LEE VAN HORN-DOBBERSTEIN LMFT

Marriage & Family Therapist