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

Ellen Rose Medina

Individual provider Mental Health Counselor · NPI 1356413926

Ellen Rose Medina is a Mental Health Counselor in Chula Vista, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1105 Broadway Ste 206
Chula Vista, CA 91911-2767
Phone: (619) 426-4872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1356413926
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESJuly 8, 2007

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