Jacob Santhouse, EDD, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH24041 Issued in FL

Practice address

1700 66TH St N # 104-312
St Petersburg, FL 33710-5544

Phone

(312) 883-4077

NPI assigned

Aug 11, 2020

Last updated

Apr 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Olive Counseling LLC

  • Professional Counselor
  • St Petersburg, FL
  • NPI 1982208773
  NPD Authorized official

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1689285892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 66TH ST N # 104-312",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105544",
            "telephone_number": "312-883-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 66TH ST N # 104-312",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105544",
            "telephone_number": "312-883-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10223 Cherry Ln Apt 203",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836874344",
            "country_code": "US",
            "telephone_number": "312-883-4077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTHOUSE",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "EDD, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017827",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013074",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "7778",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH24041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sankar's Medical Supply LLC
• Alexandra Sanow, PHARMD
• Laura A Sansone, LMFT
• Maria Castro Sansone, M.S., CCC-SLP
• Sandra Santana, PMHNP-BC
• Laisa Margarita Santiago Ramos, MD
• Marisol Santiago-Soto, B.A
• Edilberto Josef Santiago Jr., PT
• Rafael Santiago, M.D.
• Gia Santivasi, AUD

• Professional Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.