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STACEY ANN MEDINA
NPI 1699637751
Counselor in Modesto, CA

Active since November 26, 2025
1000 COFFEE RD, MODESTO, CA 95355(209) 492-2470 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2026, Nov 26, 2025 (2 updates tracked since 2025).

About Stacey Ann Medina NPPES

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

STACEY ANN MEDINA (NPI 1699637751) is an individual counselor in Modesto, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1699637751
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTACEY ANN MEDINA
Location Address1000 COFFEE RDModesto, CA 95355-4204
Mailing Address1000 Coffee RdModesto, CA 95355-4204
Phone(209) 492-2470
Sole ProprietorNo
Enumeration DateNovember 26, 2025
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1699637751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1000 COFFEE RD, Modesto, CA 95355
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Other Providers at the Same Location NPPES 14

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

ALBERT QUINTERO QUINTERO
Counselor (School)
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 574-1685
BRITTANY N COLLINS
Health and Wellness Coach
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 574-1500
DENAE FINNEY
Health and Wellness Coach
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 574-1632
TAWN THAI SCHAFFRAN
Counselor (School)
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 574-1703
SOFIA ZARAGOZA
Counselor (School)
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 492-4355
LAURA GARCIA
Psychologist (School)
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 492-1789
ANDREA FAYE DOUD
Psychologist (School)
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 574-1685
MARISA ERIN COPELAND
Psychologist (School)
1000 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 360-7837

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 Stacey Medina's NPI number?

The NPI number for Stacey Medina is 1699637751. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Stacey Medina located?

Stacey Medina practices at 1000 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 492-2470.

What is Stacey Medina's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stacey Medina was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.