ANGEL MEDINA III
NPI 1821453275
Counselor in Bethel, AK

Active since December 29, 2015
835 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559(907) 543-6552(907) 543-6535 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angel Medina Iii NPPES

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

ANGEL MEDINA III (NPI 1821453275) is an individual counselor in Bethel, Alaska and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1821453275
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameANGEL MEDINA III
Location Address835 CHIEF EDDIE HOFFMAN HWYBethel, AK 99559-0528
Mailing AddressPo Box 528, Attn: Bh Morgan House ProgramBethel, AK 99559-0528 · (907) 543-6552 · Fax (907) 543-6535
Fax(907) 543-6535
Sole ProprietorNo
Enumeration DateDecember 29, 2015
NPI 1821453275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
835 CHIEF EDDIE HOFFMAN HWY, Bethel, AK 99559

Other Identifiers 1

Medicaid1020986AK

Other Providers at the Same Location NPPES 11

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

Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559
Counselor
835 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK 99559

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 Angel Medina's NPI number?

The NPI number for Angel Medina is 1821453275. It was assigned to this individual provider in the NPPES registry on December 29, 2015.

Where is Angel Medina located?

Angel Medina practices at 835 Chief Eddie Hoffman Hwy, Bethel, AK 99559. The listed phone number is (907) 543-6552.

What is Angel Medina's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Angel Medina was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.