Active NPI
Gary Santana, MS/CADC
- Addiction (Substance Use Disorder) Counselor
- Lexington, KY
National Provider Identifier
1699163022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1016
- Practice address
- 340 Legion Dr Ste 28
Lexington, KY 40504-2716 - Phone
- (859) 276-0533
- NPI assigned
- Jan 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 165945 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1016 | KY | Primary |
Addresses
Primary practice location
340 Legion Dr Ste 28
Lexington, KY 40504-2716
Mailing address
PO Box 11161
Lexington, KY 40574-1161
Phone (859) 230-7073
Other practice location 1
599 Freedom Park Dr
Crestview Hills, KY 41017-5130
Phone (859) 331-3111
Other practice location 2
1154A Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-7272
Other practice location 3
2645 N Laurel Rd Ste B
London, KY 40741-9075
Phone (502) 749-6249
Other practice location 4
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone (502) 749-6249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100590860 | Medicaid | KY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165945 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 1016 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1699163022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11161",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405741161",
"telephone_number": "859-230-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 LEGION DR STE 28",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042716",
"telephone_number": "859-276-0533"
}
],
"practiceLocations": [
{
"address_1": "599 Freedom Park Dr",
"address_purpose": "LOCATION",
"city": "Crestview Hills",
"state": "KY",
"postal_code": "410175130",
"country_code": "US",
"telephone_number": "859-331-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1154A Lexington Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249330",
"country_code": "US",
"telephone_number": "502-868-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2645 N Laurel Rd Ste B",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407419075",
"country_code": "US",
"telephone_number": "502-749-6249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9702 Stonestreet Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402726812",
"country_code": "US",
"telephone_number": "502-749-6249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTANA",
"first_name": "GARY",
"credential": "MS/CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-08",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "165945",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "1016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100590860",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.