Individual provider Active NPI

Saira Lissette Ayala-Santiago

  • Professional Counselor
  • Allentown, PA
National Provider Identifier
1649913302
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1247 S Cedar Crest Blvd Ste 107
Allentown, PA 18103-6347
Phone
(484) 232-9407
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

1247 S Cedar Crest Blvd Ste 107
Allentown, PA 18103-6347

Mailing address

9 Pluto LN
Modena, NY 12548-5144

Other practice location 1

9 Pluto Ln
Modena, NY 12548-5144
Phone (484) 232-9407

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ehr.blueehr.com/public/ Direct

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
Children'S Integrated Center for Success PastSince Apr 24, 2022 Accepting new patients

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1649913302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PLUTO LN",
            "city": "MODENA",
            "state": "NY",
            "postal_code": "125485144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CREST BLVD STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036347",
            "telephone_number": "484-232-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Pluto Ln",
            "address_purpose": "LOCATION",
            "city": "Modena",
            "state": "NY",
            "postal_code": "125485144",
            "country_code": "US",
            "telephone_number": "484-232-9407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA-SANTIAGO",
        "first_name": "SAIRA",
        "middle_name": "LISSETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ehr.blueehr.com/public/",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Record System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7910 Woodmont Ave Ste 630",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208147089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.