Active NPI
Tina Marie Santiago, M.A., LMFTA
- Marriage & Family Therapist
- Chehalis, WA
National Provider Identifier
1104264498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTA.MG.60224659
- Practice address
- 135 W Main St
Chehalis, WA 98532-4817 - Phone
- (360) 330-7181
- Fax
- (360) 748-0627
- NPI assigned
- Jun 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTA.MG.60224659 | WA | Primary |
Addresses
Primary practice location
135 W Main St
Chehalis, WA 98532-4817
Mailing address
6203 Jamestown LN SE
Apt D103
Lacey, WA 98503-1380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTA.MG.60224659 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
| Mindful Talk Therapy | Current | Accepting new patients |
Interoperability endpoints
- tinasantiago@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
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- Spokane, WA
- NPI 1548858277
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1104264498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6203 JAMESTOWN LN SE",
"address_2": "APT D103",
"city": "LACEY",
"state": "WA",
"postal_code": "985031380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W MAIN ST",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985324817",
"telephone_number": "360-330-7181",
"fax_number": "360-748-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "M.A., LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-07",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MFTA.MG.60224659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.