NPIMap

Organization Active NPI

Santiago Healing Haven, PLLC

  • Professional Counselor
  • Park Ridge, IL
National Provider Identifier
1578438370
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SANTIAGO HEALING HAVEN, PLLC
Practice address
11 N Northwest Hwy Ste 111
Park Ridge, IL 60068-3452
Phone
(630) 534-0658
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Amanda Marie Santiago, LCPCNPI 1841933678
Title
Owner/Psychotherapist
Phone
(630) 534-0658

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

11 N Northwest Hwy Ste 111
Park Ridge, IL 60068-3452

Mailing address

11 N Northwest Hwy Ste 111
Park Ridge, IL 60068-3452
Phone (630) 534-0658

National Provider Directory

National Provider Directory

Locations

11 N Northwest Hwy
Ste 111
Park Ridge, IL 60068
Phone (630) 534-0658

11 N Northwest Hwy
Park Ridge, IL 60068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1578438370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N NORTHWEST HWY STE 111",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683452",
            "telephone_number": "630-534-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N NORTHWEST HWY STE 111",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683452",
            "telephone_number": "630-534-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO HEALING HAVEN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "630-534-0658",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.