The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Rocky River and Ohio

26 active clinicians are listed under Counselor - Professional with a practice address in Rocky River, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rocky River

7.7% of these 26 clinicians have the CMS telehealth indicator.

7.7% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-13

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.1800809

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH C.1400686

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier The Counselor, Social Worker And Marriage And Family Therapist Board

C.1400686 (OH)

Other Identifier The Counselor, Social Worker And Marriage And Family Therapist Board

E.1800809 (OH)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events

📍

Updated Practice Location March 19, 2024

Registered at 3365 HIGLEY RD, ROCKY RIVER, OH 441163832 (Tel: 4402713422)

📍

Updated Business Mailing Address March 19, 2024

Registered at 19885 DETROIT RD # 264, ROCKY RIVER, OH 441161815 (Tel: 4402713422)

📍

Updated Practice Location March 13, 2020

Registered at 14900 DETROIT AVE STE 311, LAKEWOOD, OH 441073922 (Tel: 4404779693)

📍

Updated Business Mailing Address March 13, 2020

Registered at 3365 HIGLEY RD, ROCKY RIVER, OH 441163832 (Tel: 4404779693)

👤

Provider Name / Credentials Updated January 19, 2019

Recorded as PATRICK SANTILLI, LPCC

📍

Updated Practice Location March 17, 2018

Registered at 8500 STATION ST STE 102, MENTOR, OH 440604968 (Tel: 4404779693)

📍

Updated Business Mailing Address March 17, 2018

Registered at 17809 NORTHWOOD AVE, LAKEWOOD, OH 441072225 (Tel: 4404779693)

📍

Updated Practice Location March 05, 2018

Registered at 8500 STATION ST STE 102, MENTOR, OH 440604968 (Tel: 4404779693)

📍

Updated Business Mailing Address March 05, 2018

Registered at 17809 NORTHWOOD AVE, LAKEWOOD, OH 441072225 (Tel: 4404779693)

✅

NPI Profile Active July 29, 2015

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 29, 2015

Registered at 22001 FAIRMOUNT BLVD, CLEVELAND, OH 441184819 (Tel: 2169322800)

📍

Business Mailing Address (Initial Record) July 29, 2015

Registered at 536 VESELY CT, EASTLAKE, OH 440951238 (Tel: 4404779693)

👤

Provider Name / Credentials (Initial Record) July 29, 2015

Recorded as PATRICK SANTILLI, NCC, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2015

Counselor (license number reported to NPPES: OH C.1400686)

🟢

Initial NPI Registration & Enumeration July 29, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407231574

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2015

Last Update: March 19, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

19885 Detroit Rd # 264

Rocky River, OH 441161815

Phone: 4402713422

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.