Active NPIIndividual provider

Richard Medina, LAC

Counselor, Mental Health in Ridgefield Park, New Jersey

NPI Number1164132049
Practice location
9 Euclid Ave, Ridgefield Park, NJ 07660-1914
Fax
—
Last updated
October 23, 2026

Richard Medina is a Counselor, Mental Health based in Ridgefield Park, NJ. Richard Medina practices in Ridgefield Park, NJ and has the professional credentials of LAC. The NPI Number for Richard Medina is 1164132049 and holds a License No. 37AC00495200 (NJ). The current practice location address for Richard Medina is 9 Euclid Ave, Ridgefield Park, NJ 07660-1914 and can be reached out via phone at 201-304-8716.

Provider Profile Details

NPI Number
1164132049
Provider Name
Richard Medina
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
9 Euclid Ave, Ridgefield Park, NJ 07660-1914
Phone Number
201-304-8716
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2022
Last Update Date
October 23, 2026
Certification Date
October 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Euclid Ave
Ridgefield Park, NJ 07660-1914
Zip
07660-1914
Phone Number
201-304-8716
Ridgefield Park, NJ 07660Get directions →

Provider Business Mailing Address Details

Address
9 Euclid Ave
Ridgefield Park, NJ 07660-1914
City
Ridgefield Park
State
NJ
Zip
07660-1914
Phone Number
201-304-8716

License Information

License Number
37AC00495200
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Mental Health providers near Ridgefield Park, NJ

View all Counselor, Mental Health providers in Ridgefield Park →

Frequently Asked Questions

What is the NPI number of Richard Medina, LAC?

The NPI number of Richard Medina, LAC is 1164132049. It was assigned on December 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Richard Medina, LAC?

Richard Medina, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00495200.

Where does Richard Medina, LAC practice?

The practice location is 9 Euclid Ave, Ridgefield Park, NJ 07660-1914. The office can be reached at 201-304-8716 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164132049 directly on the NPPES registry website.

Browse related providers