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JANNELIS I MEDINA
NPI 1730801283
Counselor - Addiction (Substance Use Disorder) in Springfield, MA

Active since September 12, 2022
1985 MAIN ST STE 305, SPRINGFIELD, MA 01103(413) 885-3965 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jannelis I Medina NPPES

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

JANNELIS I MEDINA (NPI 1730801283) is an individual addiction (substance use disorder) provider in Springfield, Massachusetts and active in the NPI registry since September 2022. She maintains a secondary practice location in Lowell.

NPPES Registry Identity

NPI1730801283
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJANNELIS I MEDINA
Location Address1985 MAIN ST STE 305Springfield, MA 01103-1074
Mailing Address1985 Main St Ste 305Springfield, MA 01103-1074 · (413) 885-3965
Phone(413) 885-3965
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1730801283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1985 MAIN ST STE 305, Springfield, MA 01103
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Secondary Practice Location 1

Location 119 Anderson StLowell, MA 01852-5310 · Phone (978) 332-6524

Other Providers at the Same Location NPPES 2

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

BRIDGE OF CHANGES, LLC
Counselor (Mental Health)
1985 MAIN ST STE 305
SPRINGFIELD, MA 01103
Hampden County (413) 301-6625
MRS. SONIA NOEMI RODRIGUE3Z
Counselor
1985 MAIN ST STE 305
SPRINGFIELD, MA 01103
Hampden County (413) 301-6645

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 Jannelis Medina's NPI number?

The NPI number for Jannelis Medina is 1730801283. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Jannelis Medina located?

Jannelis Medina practices at 1985 Main St Ste 305, Springfield, MA 01103. The listed phone number is (413) 885-3965.

What is Jannelis Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jannelis Medina was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.