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JESSENIA MEDINA
NPI 1578040200
Counselor - Professional in Manchester, CT

Active since July 25, 2018
444 CENTER ST, MANCHESTER, CT 06040(860) 646-3888(860) 645-4132 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2020, Jul 25, 2018 (2 updates tracked since 2018).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Individual
  • Female
  • Counselor
  • Professional

About JESSENIA MEDINA

This page provides the complete NPI Profile along with additional information for Jessenia Medina, a provider established in Manchester, Connecticut with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1578040200 assigned on July 2018. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1578040200 Verify this NPI
Provider Name
JESSENIA MEDINA
Gender
Female
Entity Type
Individual
Location Address
444 CENTER ST MANCHESTER, CT 06040
Location Phone
(860) 646-3888
Location Fax
(860) 645-4132
Mailing Address
2 WATERSIDE XING STE 401 WINDSOR, CT 06095
Mailing Phone
(860) 731-5522
Mailing Fax
(860) 731-5536
Is Sole Proprietor?
No
Enumeration Date
07-25-2018
Last Update Date
03-03-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MRS. ANN KRISTIN OSOBA M.S., LPC
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
GRACE HALPERN LCSW
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
RHEBA KRIEGER
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
PHILLIP MCNALLY
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
NATASHA GREGORY
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
KRISTEN DELGREGO
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
KATARINA QUARTICELLI
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
REBECCA SORORNEJAD LPC
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
KAREN CASE
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
ANGELA TUERS LCSW
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
SUSAN TYROL-BAGCAL
Registered Nurse (Psychiatric/Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
ANNA ALMODOVAR
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
KAYLA KING
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
MICHAEL PAGLIONE
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
BETTINA HERRLER
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
FIRST CHOICE HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
444 CENTER ST, 3RD FLOOR
MANCHESTER, CT 06040
Capitol Planning Region (860) 610-6131
LUIS SANTIAGO
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
NANCY CLARK
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
SANDRA OWENS
Marriage & Family Therapist
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888
TRACY DECARLI
Student in an Organized Health Care Education/Training Program
444 CENTER ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-3888

Frequently Asked Questions

What is Jessenia Medina's NPI number?

The NPI number assigned to this healthcare provider is 1578040200, enumerated as an "individual" on July 25, 2018.

Where is the provider located?

The provider is located at 444 CENTER ST MANCHESTER, CT 06040 and the phone number is (860) 646-3888.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.