Individual provider Active NPI

Santino Basile, MS

  • Mental Health Counselor
  • Oakland Park, FL
National Provider Identifier
1093465387
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23975 Issued in FL
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

Updated by the provider on Jul 2, 2024

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
IMH22119FLMDMental Health Counselor
MH23975FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Resource Community Health Centers, Inc. CurrentSince Sep 8, 2024 Accepting new patients
Care Resource Community Health Centers, Inc Current Accepting new patients
Care Resource Community Health Centers Inc CurrentSince Sep 8, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.