Active NPIIndividual provider

Courtney Medina

Counselor in Hoboken, New Jersey

NPI Number1730891250
Practice location
80 River St Ste 302, Hoboken, NJ 07030-5619
Fax
—
Last updated
December 15, 2022

Courtney Medina is a Counselor based in Hoboken, NJ. Courtney Medina practices in Hoboken, NJ. The NPI Number for Courtney Medina is 1730891250 and holds a License No. 21-045 (NJ). The current practice location address for Courtney Medina is 80 River St Ste 302, Hoboken, NJ 07030-5619 and can be reached out via phone at 973-291-2142.

Provider Profile Details

NPI Number
1730891250
Provider Name
Courtney Medina
Provider Entity Type
Individual
Gender
Female
Address
80 River St Ste 302, Hoboken, NJ 07030-5619
Phone Number
973-291-2142
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2022
Last Update Date
December 15, 2022
Certification Date
December 15, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 River St Ste 302
Hoboken, NJ 07030-5619
Zip
07030-5619
Phone Number
973-291-2142
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
45 Meadowlands Pkwy Unit 323
Secaucus, NJ 07094-2971
City
Secaucus
State
NJ
Zip
07094-2971

License Information

License Number (1)
21-045
License State (1)
NJ
Taxonomy (1)
Art Therapist · 221700000X
License Number (2)
37AC00543100
License State (2)
NJ
Taxonomy (2)
Counselor · 101Y00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Courtney Medina?

The NPI number of Courtney Medina is 1730891250. It was assigned on December 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Courtney Medina?

Courtney Medina is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 21-045.

Where does Courtney Medina practice?

The practice location is 80 River St Ste 302, Hoboken, NJ 07030-5619. The office can be reached at 973-291-2142 (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 1730891250 directly on the NPPES registry website.

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