Jose Matias Santos III, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

69085 Issued in TX

Practice address

212 E Broadway St
Prosper, TX 75078-2935

Phone

(214) 764-6333

Fax

(972) 441-2385

NPI assigned

Mar 4, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lucent Minds, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prosper, TX
  • NPI 1689331795
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1013332717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E BROADWAY ST",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782935",
            "telephone_number": "214-764-6333",
            "fax_number": "972-441-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E BROADWAY ST",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782935",
            "telephone_number": "214-764-6333",
            "fax_number": "972-441-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 W Spring Creek Pkwy # 246",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243569",
            "country_code": "US",
            "telephone_number": "214-764-6333",
            "fax_number": "972-441-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JOSE",
        "middle_name": "MATIAS",
        "name_suffix": "III",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Salvador
• Samuel Oh DMD PLLC
• Charlotte Sandved
• Sano Wound Care
• Kevin Santana
• Lujaina Satti
• Madison Saunders
• Kathryn Alaine Scaling, DPT
• Holly Scarbrough
• Adriane Elizabeth Schiano, M.D.

• Mental Health Counselor in Prosper, TX
• Providers in Prosper, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.