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

Jacqueline Medina

Individual provider Mental Health Counselor · NPI 1003552522

Jacqueline Medina is a Mental Health Counselor in New York, New York. Qualified in 2020, 6 years ago. Practices with Metropolitan Center for Mental Health Inc, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2022

Practice location Address checks out

160 W 86th St
New York, NY 10024-4018
Phone: (212) 875-1300
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1003552522
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2022
Last updated in NPPESMay 8, 2022
Certification dateMay 8, 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)
Group practice Metropolitan Center For Mental Health Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Metropolitan Center for Mental Health Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 23 clinicians in the practice; 12 are shown here.

Other providers in New York