Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Tatianna Medina, MAED, LPC, NCC

Individual provider Mental Health Counselor · NPI 1245048545

Stacy Tatianna Medina, MAED, LPC, NCC is a Mental Health Counselor in Toms River, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2024
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

2001 Route 37 E
Toms River, NJ 08753-7168
Phone: (732) 288-9322
Fax: (732) 288-9264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC01037400 (NJ)
Mental Health Counselor Taxonomy 101YM0800X · Licence 37PC01037400 (NJ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 37LC00423000 (NJ)
Counselor Taxonomy 101Y00000X · Licence 37PC01037400 (NJ)

Record details

NPI number1245048545
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAED , LPC , NCC
Sole proprietorYes
NPI enumeratedDecember 19, 2024
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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