Active NPIIndividual provider

Mark S Medina

Counselor, Mental Health in Easthampton, Massachusetts

NPI Number1972025906
Practice location
179 Northampton St, Easthampton, MA 01027-1057
Fax
—
Last updated
July 11, 2017

Mark Stanley Medina is a Counselor, Mental Health based in Easthampton, MA. Mark Stanley Medina practices in Easthampton, MA. The NPI Number for Mark Stanley Medina is 1972025906. The current practice location address for Mark Stanley Medina is 179 Northampton St, Easthampton, MA 01027-1057 and can be reached out via phone at 413-588-5555.

Provider Profile Details

NPI Number
1972025906
Provider Name
Mark Stanley Medina
Provider Entity Type
Individual
Gender
Male
Address
179 Northampton St, Easthampton, MA 01027-1057
Phone Number
413-588-5555
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2017
Last Update Date
July 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Northampton St
Easthampton, MA 01027-1057
Zip
01027-1057
Phone Number
413-588-5555
Easthampton, MA 01027Get directions →

Provider Business Mailing Address Details

Address
12 Carol St
Ludlow, MA 01056-2110
City
Ludlow
State
MA
Zip
01056-2110
Phone Number
413-531-8907

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Mark S Medina?

The NPI number of Mark S Medina is 1972025906. It was assigned on July 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Mark S Medina?

Mark S Medina is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mark S Medina practice?

The practice location is 179 Northampton St, Easthampton, MA 01027-1057. The office can be reached at 413-588-5555 (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 1972025906 directly on the NPPES registry website.

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