Individual provider Active NPI

Joseph Anthony Santiago Jr., LMHC

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1053494336
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000055-01 Issued in NY
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

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
000055-01NYMDMental Health Counselor
0000551NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Narco Freedom Inc Past Accepting new patients
Empire Drugstore Inc PastSince Mar 1, 2020 Accepting new patients
Jasforensics, LLC Mental Health PastSince May 11, 2025 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.

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.

Verify at the official NPI Registry.