Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUILINE MEDINA MA
NPI 1992534523
Counselor - Mental Health in Dallas, TX

Active since July 31, 2024
1910 PACIFIC AVE SUITE 2000, #1957, DALLAS, TX 75201(215) 774-3527 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, May 30, 2026, Jul 31, 2024 (3 updates tracked since 2024).

About Jacquiline Medina Ma NPPES

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

JACQUILINE MEDINA MA (NPI 1992534523) is an individual mental health provider in Dallas, Texas, licensed in Idaho (COUI9732) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1992534523
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUILINE MEDINACredential: MA
Location Address1910 PACIFIC AVE SUITE 2000, #1957Dallas, TX 75201
Mailing Address1910 Pacific Ave Ste 2000Dallas, TX 75201-4540 · (215) 774-3527
Sole ProprietorYes
Enumeration DateJuly 31, 2024
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1992534523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ID · COUI9732
1910 PACIFIC AVE SUITE 2000, Dallas, TX 75201

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 Jacquiline Medina's NPI number?

The NPI number for Jacquiline Medina is 1992534523. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Jacquiline Medina located?

Jacquiline Medina practices at 1910 Pacific Ave Suite 2000 #1957, Dallas, TX 75201. The listed phone number is (215) 774-3527.

What is Jacquiline Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacquiline Medina was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.