Active NPI
Joseph Anthony Santiago Jr., LMHC
- Mental Health Counselor
- Forest Hills, NY
National Provider Identifier
1053494336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000055-01
- Practice address
- 6227 108TH Street Apt# 11J
Forest Hills, NY 11375 - Phone
- (718) 760-8589
- Fax
- (718) 665-1174
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000055-01 | NY | Primary |
| Psychologist | 103T00000X | 0000551 | NY |
Addresses
Primary practice location
6227 108TH Street Apt# 11J
Forest Hills, NY 11375
Mailing address
190 Seigel Rd
Ellenville, NY 12428-5724
Phone (718) 760-8589
Other practice location 1
New Beginnings Community Counseling Center
401 E 147th Street
Bronx, NY 10455
Phone (718) 402-5244
Other practice location 2
190 Seigel Rd
Ellenville, NY 12428-5724
Phone (917) 346-7479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000055-01 | NY | MD | Mental Health Counselor |
| 0000551 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Narco Freedom Inc | Past | Accepting new patients | |
| Empire Drugstore Inc | Past | Accepting new patients | |
| Jasforensics, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Ellenville, NY
- NPI 1790258333
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1427682756
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1174562003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1053494336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 SEIGEL RD",
"city": "ELLENVILLE",
"state": "NY",
"postal_code": "124285724",
"telephone_number": "718-760-8589",
"fax_number": "718-665-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6227 108TH STREET APT# 11J",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-760-8589",
"fax_number": "718-665-1174"
}
],
"practiceLocations": [
{
"address_1": "New Beginnings Community Counseling Center",
"address_2": "401 E 147th Street",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "10455",
"country_code": "US",
"telephone_number": "718-402-5244",
"fax_number": "718-665-1174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Seigel Rd",
"address_purpose": "LOCATION",
"city": "Ellenville",
"state": "NY",
"postal_code": "124285724",
"country_code": "US",
"telephone_number": "917-346-7479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTIAGO",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000055-01",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0000551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.