ROSELYN SONIA MEDINA
NPI 1659629020
Counselor - Mental Health in West Palm Beach, FL

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401(561) 712-8821 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roselyn Sonia Medina NPPES

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

ROSELYN SONIA MEDINA (NPI 1659629020) is an individual mental health provider in West Palm Beach, Florida, licensed in Florida (MH22481) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659629020
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROSELYN SONIA MEDINA
Location Address1639 FORUM PL STE 7West Palm Beach, FL 33401-2330
Mailing Address5011 Wiles Rd Apt 204Coconut Creek, FL 33073-4203 · (917) 254-0901
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 16, 2012
Last NPPES UpdateDecember 6, 2023
NPPES CertifiedDecember 6, 2023
✔ NPI 1659629020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH22481
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1639 FORUM PL STE 7, West Palm Beach, FL 33401

Secondary Practice Location 1

Location 14302 New Utrecht AveBrooklyn, NY 11219-1831 · Phone (718) 686-9600

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roselyn Sonia Medina 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 ID1254783855
PECOS Enrollment IDI20240119000393
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Roselyn Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
443 services12 patients

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.

Psychiatry & Neurology (Psychiatry)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Case Manager/Care Coordinator
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
Counselor (Mental Health)
1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401

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 Roselyn Medina's NPI number?

The NPI number for Roselyn Medina is 1659629020. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Roselyn Medina located?

Roselyn Medina practices at 1639 Forum Pl Ste 7, West Palm Beach, FL 33401. The listed phone number is (561) 712-8821.

What is Roselyn Medina's specialty?

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

Is Roselyn Medina enrolled in Medicare?

Yes. Roselyn Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roselyn Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roselyn Medina reassigns Medicare benefits to 2 organizations: Mtca Psychological Services P.A. (North Miami Beach, FL) and Senior Living Memory Health, Inc. (North Miami Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roselyn Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roselyn Medina accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Roselyn Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roselyn Medina was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.