Active NPI
Alberto Santiago, CADAC, LADC
- Addiction (Substance Use Disorder) Counselor
- Lawrence, MA
National Provider Identifier
1811096498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1061
- Practice address
- 60 Island St
Counseling for Change Associates LLC.
Lawrence, MA 01840-1835 - Phone
- (978) 687-3700
- Fax
- (425) 928-2856
- NPI assigned
- Sep 21, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1061 | MA | Primary |
| Mental Health Counselor | 101YM0800X | 153C | MA | |
| Professional Counselor | 101YP2500X | 1410 | MA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0555 | NH |
Addresses
Primary practice location
60 Island St
Counseling for Change Associates LLC.
Lawrence, MA 01840-1835
Mailing address
48 Woodland Street
Lawrence, MA 01841
Phone (978) 687-0156
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153C | MA | MD | Mental Health Counselor |
| 1410 | MA | MD | Professional Counselor |
| 0555 | NH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1811096498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 WOODLAND STREET",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01841",
"telephone_number": "978-687-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 ISLAND ST",
"address_2": "COUNSELING FOR CHANGE ASSOCIATES LLC.",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401835",
"telephone_number": "978-687-3700",
"fax_number": "425-928-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO",
"first_name": "ALBERTO",
"credential": "CADAC, LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1061",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "153C",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "1410",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0555",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.