Javier Sanes-Santiago

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6266 Dupont Station CT E
Jacksonville, FL 32217-2567

Phone

(904) 745-0067

NPI assigned

Aug 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1093442055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6266 DUPONT STATION CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6266 DUPONT STATION CT E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172567",
            "telephone_number": "904-745-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANES-SANTIAGO",
        "first_name": "JAVIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-10-24",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marian Sands
• Bridgett Michelle Sands, APRN
• Erika Sands
• Michael Lee Sands, MD
• Taylor Sands, M.S., CCC-SLP, LSLS
• Melissa Sanfilippo
• Kathryn Spencer Sanford, PHARMD
• Re'Auna Sanford
• Robert C Sanford, ARNP
• Stacie Sanford

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.