Active NPI
Katrina Ann De Los Santos, LPC
- Professional Counselor
- Helotes, TX
National Provider Identifier
1972136232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20537 | SD | MD | Mental Health Counselor |
| 21611 | AZ | MD | Professional Counselor |
| 85002 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Roots Counseling LLC | Current | Accepting new patients | |
| Olive Branch Counseling and Training, PLLC | Professional | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1588342190
-
- Professional Counselor
- Boerne, TX
- NPI 1013307966
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.