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NICOLE ELIZABETH MEDINA LCMHCA
NPI 1841998713
Counselor - Professional in Wilmington, NC

Active since February 21, 2023
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 341-5779 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Feb 21, 2023 (2 updates tracked since 2023).

About Nicole Elizabeth Medina Lcmhca NPPES

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

NICOLE ELIZABETH MEDINA LCMHCA (NPI 1841998713) is an individual professional provider in Wilmington, North Carolina, licensed in North Carolina (A18422) and active in the NPI registry since February 2023. She maintains a secondary practice location in Burgaw.

NPPES Registry Identity

NPI1841998713
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE ELIZABETH MEDINACredential: LCMHCA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431
Phone(910) 343-0145
Fax(910) 341-5779
Sole ProprietorNo
Enumeration DateFebruary 21, 2023
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1841998713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A18422
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A18422 (NC)
615 SHIPYARD BLVD, Wilmington, NC 28412
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Secondary Practice Location 1

Location 1309 Progress DrBurgaw, NC 28425-3280 · Phone (910) 259-0668 · Fax (910) 259-4526

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.

COASTAL HORIZONS CENTER, INC.
Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 790-0187
MISS MARY FLORENCE WOOD LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 617-9647
MRS. ISABELLA LECCI PATE LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 931-4147
WHITNEY SHANTE JONES
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
TERRANCE WILLIAMS LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
DANIELLE MARGARET ROBBINS LCSW-A
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 399-3755
BRITTNEY PROCTOR LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 202-3155
TAMMY MICHELE JOHNSON-MCKOY LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145

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 Nicole Medina's NPI number?

The NPI number for Nicole Medina is 1841998713. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Nicole Medina located?

Nicole Medina practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Nicole Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Nicole Medina was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.