Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diana Marie Medina, LCAS, LCSWA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871052290

Diana Marie Medina, LCAS, LCSWA is an Addiction (Substance Use Disorder) Counselor in New Bern, North Carolina. Works from 3 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone: (252) 633-8204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 — (910) 938-9833
  • 301 N Secrest St, Kinston, NC 28501-5369 — (252) 686-5062

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P015340 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-24929 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-4929 (NC)

Record details

NPI number1871052290
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS , LCSWA
Sole proprietorNo
NPI enumeratedMarch 15, 2019
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

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