Individual provider Active NPI

Juan Carlos Santana, MA

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, MA
National Provider Identifier
1407282387
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LICDC.161589 Issued in MA
Practice address
1985 Main St Ste E
Springfield, MA 01103-1016
Phone
(413) 736-1458
Fax
(413) 788-0626
NPI assigned
Sep 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.161589 MA Primary

Addresses

Primary practice location

1985 Main St Ste E
Springfield, MA 01103-1016

Mailing address

1985 Main St Ste E
Springfield, MA 01103-1016
Phone (413) 736-1458

Other practice location 1

2155 Main St
Springfield, MA 01104-3301
Phone (413) 736-0395 ext. 136

Other identifiers 9

IdentifierTypeStateIssuer
1134107113OtherMANHP
997303OtherMANETWORK HEALTH
71756OtherMATUFTS
1134107113OtherMAFALLON
12529OtherMAHNE
1134107113OtherMABEACON
042622756OtherMACCA
1134107113OtherMAMBHP
1307576MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260626002268 MA Practitioner - Mental Health Counselor 6709359110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8 Cadillac Dr
Suite 300
Brentwood, TN 37027-5087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3680PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Jun 22, 2026 Accepting new patients
Total Wellness Centers, LLC PastSince Jun 22, 2026 Accepting new patients
Gandara Mental Health Center Counselor Past Accepting new patients

Locations

1985 Main St
Ste E
Springfield, MA 01103
Phone (413) 361-4587

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

Organizations & group practices 3

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1407282387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST STE E",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031016",
            "telephone_number": "413-736-1458",
            "fax_number": "413-788-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST STE E",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031016",
            "telephone_number": "413-736-1458",
            "fax_number": "413-788-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043301",
            "country_code": "US",
            "telephone_number": "413-736-0395 x136",
            "fax_number": "413-734-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Prof.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "LICDC.161589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "997303",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "71756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNE",
            "identifier": "12529",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCA",
            "identifier": "042622756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1134107113",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307576",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.