Carl Santti Jr, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0904000761 Issued in VA

Practice address

4356 Bonney Rd
Ste 101
Virginia Beach, VA 23452-1200

Phone

(757) 498-3314

Fax

(757) 498-3311

NPI assigned

Jan 19, 2006

Last updated

Jan 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)
• Urgent Psychiatric Care PLLC

  • Behavior Analyst
  • Virginia Beach, VA
  • NPI 1205125366
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1407836919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4356 BONNEY RD",
            "address_2": "STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521200",
            "telephone_number": "757-498-3314",
            "fax_number": "757-498-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4356 BONNEY RD",
            "address_2": "STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521200",
            "telephone_number": "757-498-3314",
            "fax_number": "757-498-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTTI JR",
        "first_name": "CARL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0904000761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "1407836919",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8923574",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1407836919",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER",
            "identifier": "1861562472",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945495",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1407836919",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Torinna R Santistevan
• Santos Dental Health & Wellness, Inc. (Santos Dental Health & Wellness a Division of Atlantic Dental Care PLC)
• Arianne Santos
• Estelito Moreno Santos Jr., DDS
• Stephanie L. Santos, DDS
• Marc D Sapalicio, LPTA
• Derek Anthony Sapone, R.PH.
• Gretchen Sapone, PA
• Sara Fortin, LLC
• Arianne Nicole Saragnese

• Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.