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

Vivian Medina

Individual provider Counselor · NPI 1912619909

Vivian Medina is a Mental Health Counselor in Ewing, New Jersey. Qualified in 2020, 6 years ago. Registered with an NPI since 2022.

Years since qualifying
6
In the registry since
2022
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Practice location Address checks out

1014 Whitehead Road Ext
Ewing, NJ 08638-2406
Phone: (609) 771-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1912619909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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