Individual provider Active NPI

Amanda Marie Santiago

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1841933678
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.017524 Issued in IL
Practice address
2334 W Lawrence Ave Ste 201
Chicago, IL 60625-1046
Phone
(773) 756-1733
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.017524 IL Primary

Addresses

Primary practice location

2334 W Lawrence Ave Ste 201
Chicago, IL 60625-1046

Mailing address

2334 W Lawrence Ave Ste 201
Chicago, IL 60625-1046

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

LicenseStateTypeSpecialty
180.017524ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Santiago Healing Haven, PLLC Professional CurrentSince Oct 12, 2025 Accepting new patients
Rockwell Behavioral Health and Wellness CurrentSince Apr 1, 2022 Accepting new patients

Locations

5214 N Western Ave
Ste 104
Chicago, IL 60625
Phone (773) 250-1769

2334 W Lawrence Ave
Ste 201
Chicago, IL 60625
Phone (773) 458-4078

11 N Northwest Hwy
Park Ridge, IL 60068

Organizations & group practices 2

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": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1841933678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251046",
            "telephone_number": "773-756-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.017524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

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