Individual provider · Type 1 NPI

Alyssa Medina

Professional Counselor · Taos, NM

NPI number 1760116925 Active

Practice location

1194 Saint Francis Ln Unit 3
Taos, NM 87571-8240

Call (575) 779-2828 Map

Mailing address

PO Box 3100
Ranchos De Taos, NM 87557-3100

Other practice locations

  • 7278 Highway 518, Ranchos De Taos, NM 87557-8830 · (575) 613-3144

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XCTB-2025-0155 (NM)

Professional Counselor: Definition to come...

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About NPI 1760116925

Alyssa Medina's National Provider Identifier is 1760116925, issued on Jul 13, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Taos, NM. The record was last updated on Jul 27, 2026.