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: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Mental Health

About MICAELA MEDINA

This page provides the complete NPI Profile along with additional information for Micaela Medina, a provider established in Albuquerque, New Mexico with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1790648137 assigned on December 2025. The practitioner's primary taxonomy code is 101YM0800X with license number CBT-2024-0831 (NM). The provider is registered as an individual and her NPI record was last updated one year ago. Micaela Medina operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.

NPI
1790648137 Verify this NPI
Provider Name
MICAELA TAMARA MEDINA
Gender
Female
Entity Type
Individual
Location Address
7323 SIDEWINDER DR NE ALBUQUERQUE, NM 87113
Location Phone
(505) 350-7633
Mailing Address
7323 SIDEWINDER DR NE ALBUQUERQUE, NM 87113
Mailing Phone
(505) 350-7633
Is Sole Proprietor?
Yes
Enumeration Date
12-03-2025
Last Update Date
12-03-2025
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A mental health counselor like Micaela Medina provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
CBT-2024-0831
License State
NM

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
7323 SIDEWINDER DR NE
ALBUQUERQUE, NM 87113

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790648137, enumerated as an "individual" on December 03, 2025.

The provider is located at 7323 SIDEWINDER DR NE ALBUQUERQUE, NM 87113 and the phone number is (505) 350-7633.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.