ANDREA ROSEMARY MEDINA
NPI 1710227004
Marriage & Family Therapist in Grass Valley, CA

Q: What is Andrea Medina's NPI number?

The NPI number for Andrea Medina is 1710227004. It was assigned to this individual provider in the NPPES registry on February 22, 2013.

Q: What is Andrea Medina's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Medina was last updated on November 19, 2019. 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.

Active since February 22, 2013PECOS Enrolled

714 W MAIN ST, GRASS VALLEY, CA 95945(530) 477-9800 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Rosemary Medina NPPES

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

ANDREA ROSEMARY MEDINA (NPI 1710227004) is an individual marriage & family therapist in Grass Valley, California, licensed in California (IMF 67037) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vacaville.

NPPES Registry Identity

NPI1710227004

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANDREA ROSEMARY MEDINA

Location Address714 W MAIN STGrass Valley, CA 95945-6410

Mailing AddressPo Box 266Elmira, CA 95625-0266 · (707) 365-2847

Phone(530) 477-9800

Sole ProprietorNo

Enumeration DateFebruary 22, 2013

Last NPPES UpdateNovember 19, 2019

✔ NPI 1710227004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · IMF 67037

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

714 W MAIN ST, Grass Valley, CA 95945

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Secondary Practice Location 1

Location 12012 Hamstead CtVacaville, CA 95687-7790 · Phone (707) 365-2847

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Rosemary Medina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHRISTOPHER SALTER

Residential Treatment Facility, Emotionally Disturbed Children