LOURDES E. MEDINA LMFT
NPI 1780017129
Counselor - Mental Health in Sacramento, CA
About Lourdes E. Medina Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOURDES E. MEDINA LMFT (NPI 1780017129) is an individual mental health provider in Sacramento, California, licensed in California (111326) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lourdes E. Medina Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lourdes Medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lourdes Medina's NPI number?
The NPI number for Lourdes Medina is 1780017129. It was assigned to this individual provider in the NPPES registry on August 20, 2013.
Where is Lourdes Medina located?
Lourdes Medina practices at 8325 Summer Sunset Dr, Sacramento, CA 95828. The listed phone number is (209) 915-9021.
What is Lourdes Medina's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Lourdes Medina enrolled in Medicare?
Yes. Lourdes Medina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lourdes Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lourdes Medina reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lourdes Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lourdes Medina was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lourdes E. Medina, LMFT · NPI 1780017129
Mental Health provider in Sacramento, California. Individual provider, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1780017129 (Entity type: Individual)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 111326 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8325 SUMMER SUNSET DR, Sacramento, CA 95828-5362
- **Phone:** (209) 915-9021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780017129) · Data from the CMS NPPES public registry.