Active NPI
Santino Basile, MS
- Mental Health Counselor
- Oakland Park, FL
National Provider Identifier
1093465387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23975
- Practice address
- 3160 Powerline Rd
Oakland Park, FL 33309-5911 - Phone
- (954) 567-7141
- NPI assigned
- Mar 28, 2022
- 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 | IMH22119 | FL | |
| Mental Health Counselor | 101YM0800X | MH23975 | FL | Primary |
Addresses
Primary practice location
3160 Powerline Rd
Oakland Park, FL 33309-5911
Mailing address
3160 Powerline Rd
Oakland Park, FL 33309-5911
Phone (954) 567-7141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sb3216@mynsu.nova.edu | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241113004366 | FL | Practitioner - Mental Health Counselor | 7618401621 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH22119 | FL | MD | Mental Health Counselor |
| MH23975 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Resource Community Health Centers, Inc. | Current | Accepting new patients | |
| Care Resource Community Health Centers, Inc | Current | Accepting new patients | |
| Care Resource Community Health Centers Inc | Current | Accepting new patients |
Locations
3510 Biscayne Blvd
Miami, FL 33137
Phone 3055761234282
3160 Powerline Rd
Oakland Park, FL 33309
Phone (305) 773-7844
871 W Oakland Park Blvd
Wilton Manors, FL 33311
Phone (954) 567-7141
Interoperability endpoints
- santino.basile.p1@direct.careresource.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1053311373
FL
-
- Federally Qualified Health Center (FQHC)
- Miami, FL
- NPI 1891102224
-
- Community/Retail Pharmacy
- Miami, FL
- NPI 1164039798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1093465387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 POWERLINE RD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095911",
"telephone_number": "954-567-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 POWERLINE RD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095911",
"telephone_number": "954-567-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILE",
"first_name": "SANTINO",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH22119",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23975",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sb3216@mynsu.nova.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3160 Powerline Rd",
"city": "Oakland Park",
"state": "FL",
"country_code": "US",
"postal_code": "333095911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.