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

Micaela Tamara Medina

Individual provider Mental Health Counselor · NPI 1790648137

Micaela Tamara Medina is a Mental Health Counselor in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2025

Practice location Address checks out

7323 Sidewinder Dr NE
Albuquerque, NM 87113-1300
Phone: (505) 350-7633
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CBT-2024-0831 (NM)

Record details

NPI number1790648137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 3, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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