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SAMANTHA MEDINA
NPI 1720734544
Counselor in Haddon Township, NJ

Active since March 02, 2022
215 HIGHLAND AVE STE C, HADDON TOWNSHIP, NJ 08108(856) 816-5359 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 10, 2025, Jul 19, 2023, Mar 2, 2022 (3 updates tracked since 2022).

About Samantha Medina NPPES

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

SAMANTHA MEDINA (NPI 1720734544) is an individual counselor in Haddon Township, New Jersey and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1720734544
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA MEDINA
Location Address215 HIGHLAND AVE STE CHaddon Township, NJ 08108-2634
Mailing Address215 Highland Ave Ste CHaddon Township, NJ 08108-2634
Phone(856) 816-5359
Sole ProprietorYes
Enumeration DateMarch 2, 2022
Last NPPES UpdateSeptember 10, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1720734544 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.

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.

MS. CAROLANNE BRENNAN LCADC
Counselor (Addiction (Substance Use Disorder))
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (856) 237-6081
WAYWARD TO WELLNESS
Counselor (Addiction (Substance Use Disorder))
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (856) 816-5359
BARBARA FARACCHIO LPC
Counselor (Professional)
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (856) 854-3155
MIND MATTERS MENTAL HEALTH SERVICES LLC
Nurse Practitioner (Psychiatric/Mental Health)
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (609) 350-4792
JMS BEHAVIORAL HEALTH INC.
Nurse Practitioner (Psychiatric/Mental Health)
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (609) 350-4792
KEVIN ELSEY
Counselor (Professional)
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (856) 854-3155
KRISTIN N SMITH
Counselor (Professional)
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (856) 854-3155
SOKUNVERY VAR MS
Health and Wellness Coach
215 HIGHLAND AVE STE C
HADDON TOWNSHIP, NJ 08108
Camden County (856) 388-7048

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 Samantha Medina's NPI number?

The NPI number for Samantha Medina is 1720734544. It was assigned to this individual provider in the NPPES registry on March 2, 2022.

Where is Samantha Medina located?

Samantha Medina practices at 215 Highland Ave Ste C, Haddon Township, NJ 08108. The listed phone number is (856) 816-5359.

What is Samantha 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 Samantha Medina was last updated on September 10, 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.