Individual provider Active NPI

Laisa Michelle Cruz Santiago, MA

  • Mental Health Counselor
  • Lake Mary, FL
National Provider Identifier
1710570189
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH28186 Issued in FL
Practice address
3300 W Lake Mary Blvd Ste 300
Lake Mary, FL 32746-3499
Phone
(407) 423-7149
Fax
(407) 422-0470
NPI assigned
Feb 17, 2021
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH28186 FL Primary

Addresses

Primary practice location

3300 W Lake Mary Blvd Ste 300
Lake Mary, FL 32746-3499

Mailing address

PO Box 844926
Dallas, TX 75284-4926
Phone (407) 423-7149

Other practice location 1

1050 US Highway 27
Clermont, FL 34714-7520
Phone (352) 394-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Group, PA Mental Health CurrentSince Aug 14, 2026 Accepting new patients

Locations

3300 W Lake Mary Blvd
Ste 300
Lake Mary, FL 32746
Phone (407) 423-7149

736 N Magnolia Ave
Orlando, FL 32803
Phone (407) 423-7149

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1710570189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844926",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844926",
            "telephone_number": "407-423-7149",
            "fax_number": "407-422-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W LAKE MARY BLVD STE 300",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463499",
            "telephone_number": "407-423-7149",
            "fax_number": "407-422-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347147520",
            "country_code": "US",
            "telephone_number": "352-394-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ SANTIAGO",
        "first_name": "LAISA",
        "middle_name": "MICHELLE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.