Individual provider Active NPI

Brittney Santillo

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1871906248
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2639 Issued in NV
Practice address
3639 Blackstone St
Las Vegas, NV 89121-3761
Phone
(702) 279-1274
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01394 NV
Marriage & Family Therapist 106H00000X 2639 NV Primary

Addresses

Primary practice location

3639 Blackstone St
Las Vegas, NV 89121-3761

Mailing address

3639 Blackstone St
Las Vegas, NV 89121-3761
Phone (702) 279-1274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260204001818 NV Practitioner - Marriage and Family Therapist 5092293688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3639 Blackstone St
Las Vegas, NV 89121-3761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01394NVMDAddiction (Substance Use Disorder) Counselor
2639NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holding Hope Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2026 Accepting new patients

Locations

3838 Raymert Dr
Bldg A
Las Vegas, NV 89121
Phone (725) 325-4520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1871906248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 BLACKSTONE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213761",
            "telephone_number": "702-279-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 BLACKSTONE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213761",
            "telephone_number": "702-279-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLO",
        "first_name": "BRITTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01394",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.