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

Stephanie Medina

Individual provider Mental Health Counselor · NPI 1679044143

Stephanie Medina is a Mental Health Counselor in Modesto, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

1539 McHenry Ave
Modesto, CA 95350-4528
Phone: (209) 499-8407
Show map & directions

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

Additional practice locations (1)

  • 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 — (209) 702-0139

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 21352 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1679044143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2018
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

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