Individual provider Active NPI

Nicolina Marie Santoro, MA, LMFT

  • Marriage & Family Therapist
  • Fair Oaks, CA
National Provider Identifier
1891101481
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
106682 Issued in CA
Practice address
5330 Primrose Dr Ste 240
Fair Oaks, CA 95628-3542
Phone
(916) 613-6048
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 106682 CA Primary

Addresses

Primary practice location

5330 Primrose Dr Ste 240
Fair Oaks, CA 95628-3542

Mailing address

PO Box 2142
North Highlands, CA 95660-8142
Phone (916) 613-6048

Other names 1

  • Nicolina Cahouette Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
106682CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdom Institute PastSince Sep 1, 2024 Accepting new patients
Healing Pathways Psychological Services, Inc. PastSince Nov 19, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1891101481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2142",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956608142",
            "telephone_number": "916-613-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 PRIMROSE DR STE 240",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283542",
            "telephone_number": "916-613-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "NICOLINA",
        "middle_name": "MARIE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLINA",
            "last_name": "CAHOUETTE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.