Mary Ann Veronica Santiago, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17408 Issued in FL

Practice address

4745 Old Road 37
Lakeland, FL 33813-2031

Phone

(863) 608-9392

Fax

(863) 333-0550

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1295377745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 WHISTLEWOOD CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338113061",
            "telephone_number": "863-513-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OLD ROAD 37",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132031",
            "telephone_number": "863-608-9392",
            "fax_number": "863-333-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MARY ANN",
        "middle_name": "VERONICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Ramon Santiago Colon, MD
• Carlos Yamil Santiago Gonzalez, MD
• Lisbeth Stephany Santiago Mercedes
• Hector M Santiago, CRNA
• Lyanne Santiago
• Yoel Alfonso Santiago Jr., BEHAVIOR TECHNICIAN
• Melissa Santoro, PTA
• Jeniely Santos Hernandez
• Christine Santos
• Medardo Queg Santos, M.D.

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.