Individual provider Active NPI

Santiago Agudelo Velez, LMHC-D

  • Mental Health Counselor
  • Yonkers, NY
National Provider Identifier
1194382804
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015912 Issued in NY
Practice address
487 S Broadway Ste 202
Yonkers, NY 10705-3269
Phone
(914) 423-4433
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 015912 NY Primary

Addresses

Primary practice location

487 S Broadway Ste 202
Yonkers, NY 10705-3269

Mailing address

845 N Broadway
White Plains, NY 10603-2403
Phone (914) 423-4433

Other practice location 1

77 S Main St
New City, NY 10956-3511
Phone (845) 634-5729 ext. 3059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251001002605 NY Practitioner - Mental Health Counselor 0648776310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Mercy College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VCS IncGroup PAC ID 4486839511, 6 clinicians

Practice addresses (Care Compare)

77 S Main St
New City, NY 10956-3511
Phone 8456345729321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015912NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Jewish Community Services Inc. CurrentSince Mar 3, 2026 Accepting new patients
VCS Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

77 S Main St
New City, NY 10956
Phone (845) 634-5729

845 N Broadway
White Plains, NY 10603

487 S Broadway
Yonkers, NY 10705
Phone 914423443315

487 S Broadway
Ste 202
Yonkers, NY 10705

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1194382804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032403",
            "telephone_number": "914-423-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S BROADWAY STE 202",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107053269",
            "telephone_number": "914-423-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 S Main St",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109563511",
            "country_code": "US",
            "telephone_number": "845-634-5729 x3059",
            "fax_number": "845-634-7839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUDELO VELEZ",
        "first_name": "SANTIAGO",
        "credential": "LMHC-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.