Individual provider Active NPI

Angeliky Hefziba Santos

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1063939197
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3801 E Florida Ave Ste 102
Denver, CO 80210-2538
Phone
(720) 863-6012
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3801 E Florida Ave Ste 102
Denver, CO 80210-2538

Mailing address

3801 E Florida Ave Ste 102
Denver, CO 80210-2538
Phone (720) 863-6012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241017002125 IL Practitioner - Mental Health Counselor 5991237752 Reassigns benefits to 3 organizations
I20250319001880 CO Practitioner - Mental Health Counselor 5991237752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare Community Health, Inc.Group PAC ID 6204722077, shared by 10 NPIs, 41 clinicians

Practice addresses (Care Compare)

5635 W Belmont Ave
Chicago, IL 60634-4384
Phone (773) 736-1830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Community Health, Inc. CurrentSince Oct 8, 2024 Accepting new patients
Angeliky Santos LLC Professional CurrentSince Oct 28, 2024 Accepting new patients
Primecare Community Health, Inc. Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 25, 2025 Accepting new patients
Primecare Community Health Inc CurrentSince Oct 8, 2024 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

Interoperability endpoints

  • Direct secure messaging: angeliky.santos.1@16494.direct.athenahealth.com

Organizations & group practices 7

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063939197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102538",
            "telephone_number": "720-863-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102538",
            "telephone_number": "720-863-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ANGELIKY",
        "middle_name": "HEFZIBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.