Active NPI
Ellen Lydia Santaniello, LMHC
- Mental Health Counselor
- Providence, RI
National Provider Identifier
1235440199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00552
- Practice address
- 11 Mayflower St
Providence, RI 02906-3521 - Phone
- (401) 316-3226
- Fax
- (401) 331-5772
- NPI assigned
- Jun 25, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00552 | RI | Primary |
Addresses
Primary practice location
11 Mayflower St
Providence, RI 02906-3521
Mailing address
11 Mayflower St
Providence, RI 02906-3521
Phone (401) 316-3226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ES92870 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00552 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1235440199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MAYFLOWER ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063521",
"telephone_number": "401-316-3226",
"fax_number": "401-331-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MAYFLOWER ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063521",
"telephone_number": "401-316-3226",
"fax_number": "401-331-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANIELLO",
"first_name": "ELLEN",
"middle_name": "LYDIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ES92870",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.