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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1760791537

Jennifer Lynn Medina, MA, PCCI is an Addiction (Substance Use Disorder) Counselor in Menlo Park, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1225 Crane St Ste 205
Menlo Park, CA 94025-4257
Phone: (650) 319-7225
Fax: (650) 618-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 1035 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1760791537
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , PCCI
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESJune 14, 2016

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