Individual provider Active NPI

Mariah Lynn Santana

  • Marriage & Family Therapist
  • Southington, CT
National Provider Identifier
1619775558
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3962 Issued in CT
Practice address
672 Queen St # 1118
Southington, CT 06489-1540
Phone
(203) 441-5651
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 3962 CT Primary

Addresses

Primary practice location

672 Queen St # 1118
Southington, CT 06489-1540

Mailing address

672 Queen St # 1118
Southington, CT 06489-1540
Phone (860) 919-8694

Other practice location 1

123 Middle St
Bristol, CT 06010-7404
Phone (860) 281-2280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Guidance Clinic for Central Connecticut, Inc CurrentSince Mar 11, 2025 Accepting new patients
Community Guidance Clinic for Central Connecticut, Inc PastSince Mar 11, 2025 Accepting new patients

Locations

384 Pratt St
Meriden, CT 06450
Phone (203) 235-5767

Organizations & group practices 2

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1619775558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 QUEEN ST # 1118",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891540",
            "telephone_number": "860-919-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 QUEEN ST # 1118",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891540",
            "telephone_number": "203-441-5651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Middle St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060107404",
            "country_code": "US",
            "telephone_number": "860-281-2280",
            "fax_number": "860-499-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "MARIAH",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.