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JESSE ALEXIS MEDINA
NPI 1831655679
Counselor in Rockford, IL

Active since February 18, 2019
1601 UNIVERSITY DR, ROCKFORD, IL 61107(815) 391-1000 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Alexis Medina NPPES

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

JESSE ALEXIS MEDINA (NPI 1831655679) is an individual counselor in Rockford, Illinois and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1831655679
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJESSE ALEXIS MEDINA
Location Address1601 UNIVERSITY DRRockford, IL 61107-5317
Mailing Address1021 N Mulford RdRockford, IL 61107-3877
Phone(815) 391-1000
Sole ProprietorNo
Enumeration DateFebruary 18, 2019
✔ NPI 1831655679 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.
1601 UNIVERSITY DR, Rockford, IL 61107
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Other Providers at the Same Location NPPES 20

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

LOGAN JOHN CHAPMAN-NEAL
Counselor
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
JEREMY ADON MCINTOSH
Counselor
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
FURRUNNECIA NEWBERRY LCPC
Counselor (Professional)
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
AMBER KRYSTENE SHAPPARD
Counselor
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
ROSCRANCE INC.
Substance Abuse Rehabilitation Facility
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
MONICA REU
Social Worker (Clinical)
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
ROSECRANCE INC
Substance Abuse Rehabilitation Facility
1601 UNIVERSITY DR, ROSECRANCE INC GRIFFIN WILLIAMSON
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
CATELYN KAYE FRIIS
Counselor
1601 UNIVERSITY DR
ROCKFORD, IL 61107
Winnebago County (815) 391-1000

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 Jesse Medina's NPI number?

The NPI number for Jesse Medina is 1831655679. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Jesse Medina located?

Jesse Medina practices at 1601 University Dr, Rockford, IL 61107. The listed phone number is (815) 391-1000.

What is Jesse 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 Jesse Medina was last updated on February 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.