Individual provider Active NPI

Katrina Ann De Los Santos, LPC

  • Professional Counselor
  • Helotes, TX
National Provider Identifier
1972136232
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85002 Issued in TX
Practice address
12274 Bandera Rd Ste 101
Helotes, TX 78023-4386
Phone
(210) 396-7609
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 21611 AZ
Professional Counselor 101YP2500X 85002 TX Primary
Mental Health Counselor 101YM0800X 20537 SD

Addresses

Primary practice location

12274 Bandera Rd Ste 101
Helotes, TX 78023-4386

Mailing address

PO Box 683
Vail, AZ 85641-0683
Phone (520) 904-3345

Other practice location 1

13444 E Homesteaders Ln
Tucson, AZ 85747-0169
Phone (520) 355-0594

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
20537SDMDMental Health Counselor
21611AZMDProfessional Counselor
85002TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Roots Counseling LLC CurrentSince Jul 9, 2023 Accepting new patients
Olive Branch Counseling and Training, PLLC Professional CurrentSince Jul 9, 2023 Accepting new patients

Locations

12274 Bandera Rd
Ste 101
Helotes, TX 78023
Phone (210) 396-7609

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1972136232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856410683",
            "telephone_number": "520-904-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12274 BANDERA RD STE 101",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234386",
            "telephone_number": "210-396-7609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13444 E Homesteaders Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857470169",
            "country_code": "US",
            "telephone_number": "520-355-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "21611",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85002",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "20537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.