JESSICA SUE MEDINA LPCC
NPI 1649039819
Counselor - Professional in Lamar, CO

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since March 18, 2024

100 KENDALL DR, LAMAR, CO 81052(719) 384-5446(719) 336-7453 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Jessica Sue Medina Lpcc NPPES

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

JESSICA SUE MEDINA LPCC (NPI 1649039819) is an individual professional provider in Lamar, Colorado, licensed in Colorado (21791) and active in the NPI registry since March 2024. She maintains a secondary practice location in La Junta.

NPPES Registry Identity

NPI1649039819

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA SUE MEDINACredential: LPCC

Location Address100 KENDALL DRLamar, CO 81052-3901

Mailing Address128 Market StAlamosa, CO 81101-2290 · (719) 587-1060 · Fax (719) 587-1525

Phone(719) 384-5446

Fax(719) 336-7453

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1649039819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · 21791

100 KENDALL DR, Lamar, CO 81052

Open in Google Maps ↗

Secondary Practice Location 1

Location 1711 Barnes AveLA Junta, CO 81050-2138 · Phone (719) 384-5446 · Fax (866) 220-5081

Other Providers at the Same Location NPPES 13

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

JESSICA ANNE MITCHELL M.A.

Counselor (Mental Health)