Micaela Tamara Medina · Mental Health Counselor

7323 Sidewinder Dr Ne, Albuquerque, NM 87113-1300

Overview

Micaela Tamara Medina is a Mental Health Counselor practicing in Albuquerque, New Mexico. The National Provider Identifier (NPI) is #1790648137, which was assigned on December 3, 2025, and the registration record was last updated on December 3, 2025. The practitioner's main practice location is at 7323 Sidewinder Dr Ne, Albuquerque, NM 87113-1300; the contact telephone number is 5053507633. The primary taxonomy of Micaela Tamara Medina is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Micaela Tamara Medina is licensed to practice in the state of New Mexico (#CBT-2024-0831).

Provider Information

NPI 1790648137
Entity Type Individual
Provider Name MICAELA TAMARA MEDINA
Gender Female
Practice Address 7323 Sidewinder Dr Ne
Albuquerque
NM 87113-1300
Practice Telephone 5053507633
Mailing Address 7323 Sidewinder Dr Ne
Albuquerque
NM 87113-1300
Mailing Telephone 5053507633
Certification Date 2025-12-03
Enumeration Date 2025-12-03
Last Update Date 2025-12-03
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YM0800XCounselorMental Health193200000X MULTI-SPECIALTY GROUPCBT-2024-0831NM

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

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Location Information

Street Address 7323 SIDEWINDER DR NE
City ALBUQUERQUE
State NM
Zip Code 87113-1300
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Debbie Chavez De Medina 7323 Sidewinder Dr Ne, Albuquerque, NM 87113-1300Professional Counselor2015-06-19

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Natalie M Butters 7367 Sidewinder Dr Ne, Albuquerque, NM 87113-1300Specialist2022-04-07
Barbara Hope, Lcsw, LLC 7359 Sidewinder Dr Ne, Albuquerque, NM 87113-1300Clinical Social Worker2018-04-06
Barbara Hope 7359 Sidewinder Dr Ne, Albuquerque, NM 87113-1300Clinical Social Worker2007-05-07

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Eagle Pointe Dentists and Orthodontics, LLC 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113Dentist2013-01-22
Keith Levitt 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113Anesthesiology Physician2013-01-18
Morningside Company Dba Comfort Keepers 8204b Louisana Blvd. N.E., Albuquerque, NM 87113In Home Supportive Care Agency2010-07-15
Tsai-Marie Ford Presnow Urgent and Emergency Care, 6400 Paseo Del Norte, Albuquerque, NM 87113Student in an Organized Health Care Education/Training Program2020-01-16
Jason Scott Jaramillo 5701 Balloon Fiesta Pkwy Ne, Albuquerque, NM 87113Pharmacist2014-03-10
Medify Drop LLC 8206 Louisiana Blvd Ne, Ste A #6748, Albuquerque, NM 87113Durable Medical Equipment & Medical Supplies2025-09-08
Anne K. Hempstead D.D.S., P.C. 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113Pediatric Dentist2018-03-20
Sharon Piedad Tafoya 8500 Washington St Ne, Ste A1, Albuquerque, NM 87113Behavioral Analyst2021-03-11
Esther Sanchez 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113Home Health Aide2014-01-07
Juliette Eye Institute LLC 8801 Horizon Blvd, Ste 130, Albuquerque, NM 87113Ophthalmology Physician2020-09-01
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.