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CARLOS ALBERTO MEDINA
NPI 1912629403
Counselor - Addiction (Substance Use Disorder) in Worcester, MA

Active since September 13, 2022
21 CATHARINE ST, WORCESTER, MA 01605(508) 416-9548(508) 628-6972 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlos Alberto Medina NPPES

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

CARLOS ALBERTO MEDINA (NPI 1912629403) is an individual addiction (substance use disorder) provider in Worcester, Massachusetts and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1912629403
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCARLOS ALBERTO MEDINA
Location Address21 CATHARINE STWorcester, MA 01605-2709
Mailing Address21 Catharine StWorcester, MA 01605-2709 · (508) 416-9548 · Fax (508) 628-6972
Phone(508) 416-9548
Fax(508) 628-6972
Sole ProprietorYes
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1912629403 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
21 CATHARINE ST, Worcester, MA 01605
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

NOEL SHAWN DENNIS
Counselor (Addiction (Substance Use Disorder))
21 CATHARINE ST
WORCESTER, MA 01605
Worcester County (508) 755-8088

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 Carlos Medina's NPI number?

The NPI number for Carlos Medina is 1912629403. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Carlos Medina located?

Carlos Medina practices at 21 Catharine St, Worcester, MA 01605. The listed phone number is (508) 416-9548.

What is Carlos 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 Carlos Medina was last updated on September 13, 2022. 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.