Active NPI
Tad Pierre Santos, ABD, LPC, NCP
- Professional Counselor
- Irwin, PA
National Provider Identifier
1235233511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC004645
- Practice address
- 1151 Robbie Dr
Irwin, PA 15642-1549 - Phone
- (814) 504-6062
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004645 | PA | Primary |
| Psychologist | 103T00000X | 02261 | PA |
Addresses
Primary practice location
1151 Robbie Dr
Irwin, PA 15642-1549
Mailing address
1151 Robbie Dr
Irwin, PA 15642-1549
Phone (412) 504-6062
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004645 | PA | MD | Professional Counselor |
| 02261 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1235233511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 ROBBIE DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156421549",
"telephone_number": "412-504-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 ROBBIE DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156421549",
"telephone_number": "814-504-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "TAD",
"middle_name": "PIERRE",
"credential": "ABD, LPC, NCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC004645",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "02261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.