Individual provider · Type 1 NPI

Stacy Tatianna Medina, MA.ED, LPC, NCC

Professional Counselor · Toms River, NJ

NPI number 1245048545 Active

Practice location

2001 Route 37 E
Toms River, NJ 08753-7168

Call (732) 288-9322 Map

Fax (732) 288-9264

Mailing address

23 Gibraltar Ct
Barnegat, NJ 08005-2518

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X37PC01037400 (NJ)
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00423000 (NJ)
Professional Counselor Primary 101YP2500X37PC01037400 (NJ)
Counselor 101Y00000X37PC01037400 (NJ)

Professional Counselor: Definition to come...

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About NPI 1245048545

Stacy Tatianna Medina, MA.ED, LPC, NCC's National Provider Identifier is 1245048545, issued on Dec 19, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Toms River, NJ. The record was last updated on Aug 3, 2026.