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: August 09, 2026.

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

About Jessenia Medina NPPES

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

JESSENIA MEDINA (NPI 1578040200) is an individual professional provider in Manchester, Connecticut and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1578040200
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSENIA MEDINA
Location Address444 CENTER STManchester, CT 06040-3926
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Fax(860) 645-4132
Sole ProprietorNo
Enumeration DateJuly 25, 2018
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
NPI 1578040200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
444 CENTER ST, Manchester, CT 06040

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.

Social Worker
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Social Worker (Clinical)
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Mental Health)
444 CENTER ST
MANCHESTER, CT 06040
Counselor (Professional)
444 CENTER ST
MANCHESTER, CT 06040

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 Jessenia Medina's NPI number?

The NPI number for Jessenia Medina is 1578040200. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Jessenia Medina located?

Jessenia Medina practices at 444 Center St, Manchester, CT 06040. The listed phone number is (860) 646-3888.

What is Jessenia Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jessenia Medina was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.