Individual provider Active NPI

Joshua Xavier Santiago, M.S., LMHC

  • Mental Health Counselor
  • Homestead, FL
National Provider Identifier
1083390850
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23659 Issued in FL
Practice address
546 SE 34TH Ave
Homestead, FL 33033-7685
Phone
(305) 699-3610
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 MH23659 FL Primary

Addresses

Primary practice location

546 SE 34TH Ave
Homestead, FL 33033-7685

Mailing address

546 SE 34TH Ave
Homestead, FL 33033-7685
Phone (305) 699-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240610002828 FL Practitioner - Mental Health Counselor 1254873953 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH23659FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Health Inc. CurrentSince May 1, 2024 Accepting new patients
Resilience Roost Incorporated Mental Health CurrentSince Dec 29, 2024 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Aug 1, 2024 Accepting new patients

Locations

2940 NE 207th St
Aventura, FL 33180
Phone (419) 247-2800

15005 SW 97th Ave
Miami, FL 33176
Phone (786) 598-0175

1951 NW 7th Ave
Ste 300
Miami, FL 33136
Phone (305) 699-3101

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1083390850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 SE 34TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337685",
            "telephone_number": "305-699-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 SE 34TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337685",
            "telephone_number": "305-699-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOSHUA",
        "middle_name": "XAVIER",
        "credential": "M.S., LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.