1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Counselor
  6. NPI Profile

MICAELA TAMARA MEDINA
NPI 1790648137
Counselor - Mental Health in Albuquerque, NM

Active since December 03, 2025
7323 SIDEWINDER DR NE, ALBUQUERQUE, NM 87113(505) 350-7633 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Micaela Tamara Medina NPPES

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

MICAELA TAMARA MEDINA (NPI 1790648137) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (CBT-2024-0831) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1790648137
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICAELA TAMARA MEDINA
Location Address7323 SIDEWINDER DR NEAlbuquerque, NM 87113-1300
Mailing Address7323 Sidewinder Dr NeAlbuquerque, NM 87113-1300 · (505) 350-7633
Phone(505) 350-7633
Sole ProprietorYes
Enumeration DateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1790648137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · CBT-2024-0831
7323 SIDEWINDER DR NE, Albuquerque, NM 87113
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DEBBIE CHAVEZ DE MEDINA LPCC
Counselor (Professional)
7323 SIDEWINDER DR NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 350-1375
HEALING THE HEART THERAPY LLC
Counselor
7323 SIDEWINDER DR NE
ALBUQUERQUE, NM 87113
Bernalillo County (505) 350-1375

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 Micaela Medina's NPI number?

The NPI number for Micaela Medina is 1790648137. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Where is Micaela Medina located?

Micaela Medina practices at 7323 Sidewinder Dr NE, Albuquerque, NM 87113. The listed phone number is (505) 350-7633.

What is Micaela Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Micaela Medina was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.