ROSELYN SONIA MEDINA
NPI 1659629020
Counselor - Mental Health in West Palm Beach, FL

NPI Status: Active since August 16, 2012

Contact Information

1639 FORUM PL STE 7
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 712-8821

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  • Individual
  • Female
  • Years of Experience 7
  • Counselor
  • Mental Health
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROSELYN MEDINA

This page provides the complete NPI Profile along with additional information for Roselyn Medina, a provider established in West Palm Beach, Florida with a medical specialization in Counselor, focusing in mental health and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1659629020 assigned on August 2012. The practitioner's primary taxonomy code is 101YM0800X with license number MH22481 (FL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1659629020
Provider Name
ROSELYN SONIA MEDINA
Gender
Female
Entity Type
Individual
Location Address
1639 FORUM PL STE 7 WEST PALM BEACH, FL 33401
Location Phone
(561) 712-8821
Mailing Address
5011 WILES RD APT 204 COCONUT CREEK, FL 33073
Mailing Phone
(917) 254-0901
Medical School Name
OTHER
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
08-16-2012
Last Update Date
12-06-2023
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A mental health counselor like Roselyn Medina provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Secondary Locations

  • 4302 New Utrecht Ave
    Brooklyn, NY 11219
    (718) 686-9600

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
MH22481
License State
FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2171M00000XOther Service Providers

Case Manager/Care Coordinator

 

Medicare Participation & PECOS Enrollment Status

Roselyn Medina is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Roselyn Medina is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1254783855

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240119000393

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for ROSELYN SONIA MEDINA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659629020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261091221804
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 2 + 2 + 1 + 8 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1659629020 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023275062MR. PAUL ARTHUR LITERSKY L.M.H.C.
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1255599486MRS. KATHRYN CHANDLER MS
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1023276094MRS. DENIELE LORI DEGRYSE LMHC
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1538327374MULTILINGUAL PSYCHOTHERAPY CENTERS INC
Organization
Community/Behavioral Health1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1013175785MS. ROSELYN PORTNOFF MA
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1821256249 KATHY MANSO-GOVANTES LMHC
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1700045135 TERRANCE TAVARIS BURRS MS
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1881853646MISS VARDINE SIMEUS MS
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1114178704MRS. HENY PAIVA DE AMORIM SCHIPPER M.S.
Individual
Marriage & Family Therapist1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1649421983MS. KAREN MICHELLE STEPONKUS M.A., L.M.F.T.
Individual
Marriage & Family Therapist1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1225268220MS. HOPE CRYSTAL ATWELL LCSW
Individual
Social Worker (Clinical)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 716-8529
1700016631DR. CHARLES MICHAEL RIDGDILL PSY.D.
Individual
Community/Behavioral Health1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1548492416MRS. DAMARIS TRINIDAD ROJAS
Individual
Case Manager/Care Coordinator1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1699083170 DARNEL PAUL BS
Individual
Social Worker1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1487958724 NEUSA NUNES TAVARES BA
Individual
Social Worker1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 584-0322
1467759464 RUDY ANTONIO MEDINA BA
Individual
Case Management1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1659662914CLEOPATRA ORTIZ, MD, PA
Organization
Clinic/Center1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 248-5920
1760755284MRS. JACQUISA LASHAE JARRELL-DUNBAR
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1578983912 KATRINA LATSON
Individual
Case Manager/Care Coordinator1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821
1699179697 KRISTIN RIEGER
Individual
Counselor (Mental Health)1639 FORUM PL STE 7
WEST PALM BEACH, FL 33401
(561) 712-8821

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659629020, enumerated in the NPI registry as an "individual" on August 16, 2012

The provider is located at 1639 Forum Pl Ste 7 West Palm Beach, Fl 33401 and the phone number is (561) 712-8821

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

The provider has more than 7 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on August 16, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.