Individual provider Active NPI

Paul Michael Santasieri, LPC

  • Marriage & Family Therapist
  • Manahawkin, NJ
National Provider Identifier
1508171828
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37PC00170300 Issued in NJ
Practice address
177 Neptune Dr
Manahawkin, NJ 08050-1748
Phone
(609) 713-5662
NPI assigned
Aug 11, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37PC00170300 NJ Primary

Addresses

Primary practice location

177 Neptune Dr
Manahawkin, NJ 08050-1748

Mailing address

177 Neptune Dr
Manahawkin, NJ 08050-1748
Phone (609) 713-5662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240320002072 NJ Practitioner - Mental Health Counselor 5698127090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways Neuropsychology AssociatesGroup PAC ID 6002104692, 9 clinicians

Practice addresses (Care Compare)

1301 Route 72 W
Suite 250
Manahawkin, NJ 08050-2483
Phone (732) 930-2242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00170300NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Neuropsychology Associates CurrentSince Feb 9, 2024 Accepting new patients

Locations

1301 Route 72 W
Ste 250
Manahawkin, NJ 08050
Phone (609) 597-5521

334 Commons Way
Toms River, NJ 08755
Phone (732) 930-2242

388 Lakehurst Rd
Ste 2A
Toms River, NJ 08755
Phone (732) 930-2242

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1508171828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 NEPTUNE DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501748",
            "telephone_number": "609-713-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 NEPTUNE DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080501748",
            "telephone_number": "609-713-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTASIERI",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00170300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.