Individual provider Active NPI

Brandon James Santiago, LAPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1619851045
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC001407 Issued in PA
Practice address
3939 W Ridge Rd Ste A202
Erie, PA 16506-1879
Phone
(814) 961-2267
NPI assigned
Jul 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC001407 PA Primary

Addresses

Primary practice location

3939 W Ridge Rd Ste A202
Erie, PA 16506-1879

Mailing address

931 W 27TH St
Erie, PA 16508-3239
Phone (814) 882-8902

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

State licenses

LicenseStateTypeSpecialty
APC001407PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sophrosyne Counseling Services Professional CurrentSince Aug 3, 2025 Accepting new patients

Locations

3939 W Ridge Rd
Ste A202
Erie, PA 16506
Phone (814) 961-2267

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1619851045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W 27TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083239",
            "telephone_number": "814-882-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD STE A202",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-961-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "APC001407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.