LISA C. MEDINA (NPI# 1023318813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023318813 |
| Entity Type | Individual |
| Full Name | LISA C. MEDINA |
| Other Name | LISA MICHELLE CARRILLO |
| Credential | LCDC |
| Practice Address |
5808 Balcones Dr 201 Austin TX 78731-4255 |
| Mailing Address |
2010 Rockland Dr Austin TX 78748-3066 |
| Practice Telephone | 5128043650 |
| Practice Fax Number | 5124760217 |
| Mailing Telephone | 5128096390 |
| Mailing Fax Number | 5124545039 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11182 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183506 | Lisa M Medina | Internal Medicine | J St. B16, Edif.medico Hnas Davila Suite103 Villa Rica, Bayamon, PR 00956 | 2005-12-06 |
| 1831688472 | Lisa M Medina | Student in an Organized Health Care Education/Training Program | 500b Jefferson Blvd Ste 195, West Sacramento, CA 95605-2349 | 2018-05-09 |
| 1093182446 | Lisa J Medina | Dental Hygienist | 2300 Grande Blvd Se, Rio Rancho, NM 87124-1755 | 2015-09-01 |
| 1174759922 | Lisa Ann Medina | Speech-Language Pathologist | 1952 E 7000 S Ste 100, Salt Lake City, UT 84121-6878 | 2009-06-08 |
| 1518996180 | Lisa Medina | Family Medicine | 805 N Richmond St, Fleetwood, PA 19522-1058 | 2006-07-03 |
| Street Address |
5808 BALCONES DR 201 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366571721 | Jennifer Wu | Social Worker | 5808 Balcones Dr, Suite 200, Austin, TX 78731-4255 | 2007-03-03 |
| 1538608161 | Agata Crump | Counselor | 5808 Balcones Dr, Suite #201, Austin, TX 78731-4255 | 2017-02-15 |
| 1689124216 | Douglas Alan Nelson | Counselor | 5808 Balcones Dr, Suite 101, Austin, TX 78731-4255 | 2016-10-06 |
| 1831574805 | Becca Coley Counseling | Counselor | 5808 Balcones Dr, Ste 201, Austin, TX 78731-4255 | 2015-07-20 |
| 1831529601 | Cardinal Therapy Pllc | Social Worker | 5808 Balcones Dr, Suite 201, Austin, TX 78731-4255 | 2013-11-15 |
| 1801184650 | Cheryl Vaughan | Counselor | 5808 Balcones Dr, Suite 101, Austin, TX 78731-4255 | 2011-07-14 |
| 1235458241 | Elaine St Marie | Counselor | 5808 Balcones Dr, Suite 101, Austin, TX 78731-4255 | 2010-06-01 |
| 1205165271 | Derek J. Baca | Social Worker | 5808 Balcones Dr, Suite 201, Austin, TX 78731-4255 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
| 1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
| 1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
| 1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
| 1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
| 1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
| 1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
| 1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.