DIANA MARIE MEDINA LCAS LCSWA NPI 1871052290

NPI Information

  • NPI: 1871052290
  • Provider Name: DIANA MARIE MEDINA, LCAS, LCSWA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2000 NEUSE BLVD
    NEW BERN, NC
    ZIP 28560
  • Phone: (252) 633-8204

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NPI Details

Diana Marie Medina, LCAS, LCSWA is a mental health counselor in New Bern, NC. Diana Marie Medina, LCAS, LCSWA NPI is 1871052290. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2000 NEUSE BLVD
NEW BERN, NC
ZIP 28560-449
Phone: (252) 633-8204

The enumeration date for this NPI number is 3/15/2019 and was last updated on 8/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-4929NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-24929NORTH CAROLINANo
3101YM0800XCounselorMental HealthP015340NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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