Santiago Cristobal Griego Sr., LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0103461 Issued in NM

Practice address

904 E Fairview LN Unit B
Espanola, NM 87532-2806

Phone

(505) 692-4708

NPI assigned

Sep 9, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1194606079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ALCALDE",
            "state": "NM",
            "postal_code": "875110151",
            "telephone_number": "505-692-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E FAIRVIEW LN UNIT B",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322806",
            "telephone_number": "505-692-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEGO",
        "first_name": "SANTIAGO",
        "middle_name": "CRISTOBAL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LSAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0103461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GRD Health Clinic LLC
• Shannan Greenlee, MA, BA
• Melinda Jean Grieb
• Amanda E Griego, BMS
• Beatrice L Griego, BMS
• Theresa Ann Guenard
• Lynette Guillen
• Ana M Guldan, LPCC
• Annabelle X. Gutierrez Sisneros, APRN, BC MSN CCM MA
• Bernadette G Gutierrez, CPSW, CCSS,

• Addiction (Substance Use Disorder) Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.