1. Home
  2. Directory
  3. New York
  4. Kew Gardens
  5. Counselor
  6. NPI Profile

LILLIAN S MEDINA CASAC-T
NPI 1821253642
Counselor - Addiction (Substance Use Disorder) in Kew Gardens, NY

Active since July 21, 2008
80-20 KEW GARDENS, SUITE 704, KEW GARDENS, NY 11415(718) 520-1513(718) 520-6460 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2021, Mar 1, 2021, Feb 24, 2021 (3 updates tracked since 2021).

About Lillian S Medina Casac-t NPPES

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

LILLIAN S MEDINA CASAC-T (NPI 1821253642) is an individual addiction (substance use disorder) provider in Kew Gardens, New York, licensed in New York (20290) and active in the NPI registry since July 2008. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1821253642
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLILLIAN S MEDINACredential: CASAC-T
Location Address80-20 KEW GARDENS, SUITE 704Kew Gardens, NY 11415
Mailing Address15648 77th StHoward Beach, NY 11414-2569
Phone(718) 520-1513
Fax(718) 520-6460
Sole ProprietorNo
Enumeration DateJuly 21, 2008
Last NPPES UpdateJuly 16, 20213 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1821253642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 20290
80-20 KEW GARDENS, Kew Gardens, NY 11415
Open in Google Maps ↗

Secondary Practice Location 1

Location 13584 Jerome AveBronx, NY 10467-1006 · Phone (718) 653-1537

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 Lillian Medina's NPI number?

The NPI number for Lillian Medina is 1821253642. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Lillian Medina located?

Lillian Medina practices at 80-20 Kew Gardens Suite 704, Kew Gardens, NY 11415. The listed phone number is (718) 520-1513.

What is Lillian 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 Lillian Medina was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.