Kellie Desiree Santos, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E. 0004124 Issued in OH

Practice address

8258 Veterans Hwy
Millersville, MD 21108-1457

Phone

(410) 263-0222

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Safe Harbor Behavioral Care Chesapeake LLC

  • Clinical Social Worker
  • Annapolis, MD
  • NPI 1295246718

  Professional

  NPD (past)
• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879

  Professional

  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1164541603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CEDARCROFT DR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082141",
            "telephone_number": "931-241-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 VETERANS HWY",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081457",
            "telephone_number": "410-263-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "KELLIE",
        "middle_name": "DESIREE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 0004124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO COUNSELOR, SOCIAL WORKER, AND MARRIAGE & FAMILY THERAPIST BOARD",
            "identifier": "E. 0004124",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Saffran, L.A.T., PES
• Salwa Salib, RPH
• Stephanie Sanchez
• Emily Sander, LGPC
• Regina Marie Santoro, PH.D.
• Cari Saumenig, LMSW
• Sharonda Saunders, LMSW
• Donna Schafer, LGCP, NCC
• Kimberly Scharff, LCPC
• Brooke Schetgen, LCPC

• Professional Counselor in Millersville, MD
• Providers in Millersville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.