Individual provider Active NPI

Sarah Catherine Santiago, LPC

  • Professional Counselor
  • Marquette, MI
National Provider Identifier
1245706993
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015353 Issued in MI
Practice address
100 Coles Dr Ste 3B
Marquette, MI 49855-4010
Phone
(906) 428-6141
NPI assigned
Oct 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015353 MI Primary

Addresses

Primary practice location

100 Coles Dr Ste 3B
Marquette, MI 49855-4010

Mailing address

202 W Washington St Unit 923
Marquette, MI 49855-6038
Phone (906) 428-6141

Other practice location 1

202 W Washington St Unit 923
Marquette, MI 49855-6038
Phone (906) 428-6141

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401015353MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Counseling & Wellness Professional Current Accepting new patients

Organizations & group practices 1

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": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1245706993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W WASHINGTON ST UNIT 923",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498556038",
            "telephone_number": "906-428-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLES DR STE 3B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554010",
            "telephone_number": "906-428-6141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 W Washington St Unit 923",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498556038",
            "country_code": "US",
            "telephone_number": "906-428-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "SARAH",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.