Lynda Santillan

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-19649 Issued in AZ

Practice address

1161/1181 N El Dorado PL
Tucson, AZ 85715-4607

Phone

(520) 748-7108

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pathways of Arizona, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1275845646
  Medicare reassignment NPD
• Pathways of Arizona, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1336249291
  NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1467047290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 N EL DORADO PL STE 203",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "207-487-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161/1181 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154607",
            "telephone_number": "520-748-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN",
        "first_name": "LYNDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089741",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Santerre
• Mecheliz Santiago Amaro, LMSW
• Betzy Michelle Santiago Donato
• Enrique A Santiago, D.M.D., MBA/HCM
• Jose M Santiago, M.D.
• Cesar Abraham Santillana, MD
• Adrian George Santini, MD
• Catherine Collette Santo, FNP-C
• Gwenn Santoro, M.D.
• Ydania Santos Virgen

• Professional Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.