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STEPHANIE MEDINA
NPI 1679044143
Counselor - Professional in Modesto, CA

Active since December 10, 2018
1539 MCHENRY AVE, MODESTO, CA 95350(209) 499-8407 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 22, 2025, Sep 8, 2023, May 15, 2019 and 1 more (4 updates tracked since 2018).

About Stephanie Medina NPPES

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

STEPHANIE MEDINA (NPI 1679044143) is an individual professional provider in Modesto, California, licensed in California (21352) and active in the NPI registry since December 2018. She maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1679044143
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEPHANIE MEDINA
Location Address1539 MCHENRY AVEModesto, CA 95350-4528
Mailing Address1539 Mchenry AveModesto, CA 95350-4528 · (209) 702-0139
Phone(209) 499-8407
Sole ProprietorNo
Enumeration DateDecember 10, 2018
Last NPPES UpdateDecember 22, 20254 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1679044143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 21352
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1539 MCHENRY AVE, Modesto, CA 95350
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Secondary Practice Location 1

Location 12020 Standiford Ave Ste F3Modesto, CA 95350-6531 · Phone (209) 702-0139

Other Identifiers 2

Medicaid94-2378380CA
Medicaid942378380CA

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.

KARISSA LOPEZ MA, LPCC
Counselor (Mental Health)
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
ELIZABETH ISQUIERDO
Case Manager/Care Coordinator
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
ARIANA ARROYO
Peer Specialist
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
FREDA BY
Case Manager/Care Coordinator
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
MS. MORGAN NICOLE RUSHING
Case Manager/Care Coordinator
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
MELYNDA CALDERON
Adult Companion
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 222-2378
SOPHIA ALEJANDRA ARREOLA
Adult Companion
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139
MELISSA ELIZABETH ALVAREZ
Counselor (Professional)
1539 MCHENRY AVE
MODESTO, CA 95350
Stanislaus County (209) 702-0139

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 Stephanie Medina's NPI number?

The NPI number for Stephanie Medina is 1679044143. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Where is Stephanie Medina located?

Stephanie Medina practices at 1539 Mchenry Ave, Modesto, CA 95350. The listed phone number is (209) 499-8407.

What is Stephanie 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 Stephanie Medina was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.