Active NPI
Darice Marie Santos, LMHC
- Mental Health Counselor
- Kissimmee, FL
National Provider Identifier
1164936340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16876
- Practice address
- 4798 Rockvale Dr
Kissimmee, FL 34758-3360 - Phone
- (407) 204-0301
- NPI assigned
- Nov 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | FL | ||
| Mental Health Counselor | 101YM0800X | MH16876 | FL | Primary |
Addresses
Primary practice location
4798 Rockvale Dr
Kissimmee, FL 34758-3360
Mailing address
4798 Rockvale Dr
Kissimmee, FL 34758-3360
Other practice location 1
721 Oak Commons Blvd Ste A
Kissimmee, FL 34741-4186
Phone (407) 518-9505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16876 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1164936340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4798 ROCKVALE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4798 ROCKVALE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583360",
"telephone_number": "407-204-0301"
}
],
"practiceLocations": [
{
"address_1": "721 Oak Commons Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414186",
"country_code": "US",
"telephone_number": "407-518-9505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "DARICE",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-26",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.