KEVIN RENE SANTIAGO (NPI# 1568782126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568782126 |
| Entity Type | Individual |
| Full Name | KEVIN RENE SANTIAGO |
| Practice Address |
80 W Main St Mendham NJ 07945-1257 |
| Practice Telephone | 9735435656 |
| Mailing Telephone | 9735435656 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
80 W MAIN ST |
| City | MENDHAM |
| State | NJ |
| Zip Code | 07945-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822264 | Daytop Village of Nj | Substance Abuse Rehabilitation Facility | 80 W Main St, Mendham, NJ 07945-1230 | 2006-08-24 |
| 1205496320 | Mary-elizabeth Eleanor Plutto | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-20 |
| 1427618966 | Laura Riley | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-17 |
| 1861991010 | Daytop Village of New Jersey, Inc. | Psychiatric Residential Treatment Facility | 80 W Main St, Mendham, NJ 07945-1257 | 2018-02-02 |
| 1467988378 | Courtney Braxton | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-05-11 |
| 1497288930 | Christian Perez | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-04-11 |
| 1548709793 | Taylor Kayla Herring | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
| 1992244149 | Kelly Hennebry | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
| 1821446741 | Shannon Hill | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-06-01 |
| 1821450966 | Jacqueline Skutka | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
| 1114151321 | Dawn Marie Gangi | Dermatology | 6 E Main Street, Mendham, NJ 07945 | 2009-05-04 |
| 1366683856 | Mary Elizabeth Fennelly | Counselor | 80 W. Main Street, Mendham, NJ 07945 | 2009-03-13 |
| 1760652986 | Sahib H Brown Sr. | Counselor | 80 West Main St, Mendham, NJ 07945 | 2008-03-04 |
| 1265652416 | Clelia C Ilacqua | Dentist | 5 Cold Hill Rd, Suite 7, Mendham, NJ 07945 | 2007-04-30 |
| 1891915104 | Kelly Knapp | Counselor | 80 W Main Street, Mendham, NJ 07945 | 2007-04-27 |
| 1952431652 | Donald F Callahan | Dentist | 2 Knollwood Trail, Mendham, NJ 07945 | 2007-03-06 |
| 1245302207 | Marie Lalor Rozan | Dermatology | 41 Horizon Drive, Mendham, NJ 07945 | 2006-11-14 |
| 1245230804 | Charles A Shioleno | Specialist | 8 Tempe Wick Rd, Mendham, NJ 07945 | 2005-07-26 |
| 1124259643 | Noel Akers | Counselor | 80 West Main Street, Mendham, NJ 07945 | 2009-07-31 |
| Find all providers in zip 07945 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821446741 | Shannon Hill | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-06-01 |
| 1740443720 | Keva Renee Otunuya | Counselor | 80 West Main St, Mendham, NJ 07945 | 2008-07-09 |
| 1467656447 | Brian T Gamarello | Counselor | 80 W Main St, Mendham, NJ 07945-1230 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.