Active NPI
Jeannette Centeno Santos, M.A., LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1205141645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63780
- Practice address
- 502 Mary Louise Dr
San Antonio, TX 78201-4435 - Phone
- (210) 445-1424
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63780 | TX | Primary |
Addresses
Primary practice location
502 Mary Louise Dr
San Antonio, TX 78201-4435
Mailing address
502 Mary Louise Dr
San Antonio, TX 78201-4435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 2, 2025 through Jul 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63780 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1205141645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MARY LOUISE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782014435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MARY LOUISE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782014435",
"telephone_number": "210-445-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "JEANNETTE",
"middle_name": "CENTENO",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.