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

Nicole Elizabeth Medina, LCMHCA

Individual provider Professional Counselor · NPI 1841998713

Nicole Elizabeth Medina, LCMHCA is a Professional Counselor in Wilmington, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 343-0145
Fax: (910) 341-5779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Progress Dr, Burgaw, NC 28425-3280 — (910) 259-0668

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A18422 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A18422 (NC)

Record details

NPI number1841998713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCA
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

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