Patrick Santilli, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E.1800809 Issued in OH

Practice address

3365 Higley Rd
Rocky River, OH 44116-3832

Phone

(440) 271-3422

NPI assigned

Jul 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: patricksantilli@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1407231574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19885 DETROIT RD # 264",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441161815",
            "telephone_number": "440-271-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 HIGLEY RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163832",
            "telephone_number": "440-271-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLI",
        "first_name": "PATRICK",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-03-19",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1400686",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1800809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "C.1400686",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE COUNSELOR, SOCIAL WORKER AND MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "E.1800809",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaspreet Ryan, PA-C
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• Harkiran Saini, MD
• Julia Santiago
• Jennifer Santora
• Sara W. Floreth Dba the Lake Erie Center for Relationship Counseling
• Sara W. Floreth LLC Dba the Lake Erie Center for Relationship Counseling
• Colleen Sas
• Samantha Savage

• Professional Counselor in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.