Individual provider Active NPI

Lilian Iona Santos, LCPC ATR

  • Mental Health Counselor
  • Gulfport, MS
National Provider Identifier
1790389559
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
45187 Issued in MT
Practice address
18033 Canal Junction Dr
Gulfport, MS 39503-4584
Phone
(406) 600-9682
NPI assigned
Nov 23, 2020
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 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 45187 MT Primary

Addresses

Primary practice location

18033 Canal Junction Dr
Gulfport, MS 39503-4584

Mailing address

18033 Canal Junction Dr
Gulfport, MS 39503-4584
Phone (406) 600-9682

Other names 1

  • L. Iona Yabut Santos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321002367 CT Practitioner - Mental Health Counselor 8921520669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassion Coherence LLPGroup PAC ID 8325584154, 11 clinicians

Practice addresses (Care Compare)

Wallingford, CT 06492
Phone (203) 589-4826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45187MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Coherence LLP Mental Health CurrentSince Mar 1, 2025 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, 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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1790389559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18033 CANAL JUNCTION DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034584",
            "telephone_number": "406-600-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18033 CANAL JUNCTION DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034584",
            "telephone_number": "406-600-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LILIAN IONA",
        "credential": "LCPC ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "45187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L. IONA",
            "last_name": "SANTOS",
            "middle_name": "YABUT",
            "credential": "LCPC ATR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.