Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Medina

Individual provider Case Manager/Care Coordinator · NPI 1710405980

Andrew Medina is a Mental Health Counselor in Colorado Springs, Colorado. Qualified in 2020, 6 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

175 S Union Blvd Ste 350
Colorado Springs, CO 80910-3146
Phone: (719) 633-5515
Fax: (719) 471-2250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8745 County Road 9 S, Alamosa, CO 81101-9610 — (719) 589-3671

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0018921 (CO)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1710405980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 7, 2017
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Colorado Springs