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ANDREW MEDINA
NPI 1710405980
Counselor - Professional in Colorado Springs, CO

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment
175 S UNION BLVD STE 350, COLORADO SPRINGS, CO 80910(719) 633-5515(719) 471-2250 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Medina NPPES

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

ANDREW MEDINA (NPI 1710405980) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (LPC.0018921) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Alamosa, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710405980
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANDREW MEDINA
Location Address175 S UNION BLVD STE 350Colorado Springs, CO 80910-3146
Mailing Address175 S Union Blvd Ste 350Colorado Springs, CO 80910-3146 · (719) 633-5515 · Fax (719) 471-2258
Phone(719) 633-5515
Fax(719) 471-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 7, 2017
Last NPPES UpdateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1710405980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0018921
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
175 S UNION BLVD STE 350, Colorado Springs, CO 80910
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Secondary Practice Location 1

Location 18745 County Road 9 SAlamosa, CO 81101-9610 · Phone (719) 589-3671

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew 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 ID2062913684
PECOS Enrollment IDI20250827000853
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 15

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

BARBARA E JOHNSTON MD
Internal Medicine
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
SAMEERA F FAREED-FARRUKH M.D.
Internal Medicine
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
MR. DONALD MICHAEL MILLER MSN,NP,CRRN
Nurse Practitioner (Adult Health)
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
HERMAN A LOUTERS MD
Family Medicine
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
CORY ETHEREDGE SEHRT PA
Physician Assistant
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
KELLI WOODY M.D.
Family Medicine
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
KELLY PHILLIPS M.D.
Internal Medicine
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515
ELLERY ROBERTS
Physician Assistant
175 S UNION BLVD STE 350
COLORADO SPRINGS, CO 80910
El Paso County (719) 633-5515

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 Andrew Medina's NPI number?

The NPI number for Andrew Medina is 1710405980. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Andrew Medina located?

Andrew Medina practices at 175 S Union Blvd Ste 350, Colorado Springs, CO 80910. The listed phone number is (719) 633-5515.

What is Andrew Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Andrew Medina enrolled in Medicare?

Yes. Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Medina was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.