Individual provider Active NPI

Yamil Jose Santana, LPC

  • Professional Counselor
  • Augusta, GA
National Provider Identifier
1033969985
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014589 Issued in GA
Practice address
127 Telfair St
Augusta, GA 30901-2590
Phone
(706) 922-0600
NPI assigned
Mar 25, 2024
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC014589 GA Primary

Addresses

Primary practice location

127 Telfair St
Augusta, GA 30901-2590

Mailing address

610 Vista Dr
Grovetown, GA 30813-5607
Phone (706) 619-7994

Other practice location 1

610 Vista Dr
Grovetown, GA 30813-5607
Phone (706) 619-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702002910 GA Practitioner - Mental Health Counselor 5395258230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Telfair St
Augusta, GA 30901-2590
Phone (706) 922-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC014589GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Augusta, Inc CurrentSince Jun 16, 2025 Accepting new patients
Christ Community Health Services Augusta, Inc. Current Accepting new patients
Christ Community Health Services Augusta, Inc CurrentSince Jun 16, 2025 Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients
Christ Community Health Services Augusta, Inc Past Accepting new patients

Locations

1226 Dantignac St
Augusta, GA 30901
Phone (706) 922-0600

1226 Dantignac St
#D
Augusta, GA 30901

1238 Dantignac St
#D
Augusta, GA 30901

127 Telfair St
Augusta, GA 30901
Phone (706) 922-0600

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1033969985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 VISTA DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135607",
            "telephone_number": "706-619-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 TELFAIR ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012590",
            "telephone_number": "706-922-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308135607",
            "country_code": "US",
            "telephone_number": "706-619-7994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "YAMIL",
        "middle_name": "JOSE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.