JAKE SANTILLI LMHC
NPI 1003467309
Counselor - Mental Health in Morrisonville, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 27, 2019PECOS EnrolledAccepts Medicare Assignment

2155 ROUTE 22B, MORRISONVILLE, NY 12962(518) 563-8000 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jake Santilli Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE SANTILLI LMHC (NPI 1003467309) is an individual mental health provider in Morrisonville, New York, licensed in New York (102877-01) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003467309

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJAKE SANTILLICredential: LMHC

Location Address2155 ROUTE 22BMorrisonville, NY 12962-3417

Mailing Address2155 Route 22bMorrisonville, NY 12962-3417 · (518) 563-8000

Phone(518) 563-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 27, 2019

✔ NPI 1003467309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 102877-01

2155 ROUTE 22B, Morrisonville, NY 12962

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Santilli Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375996036

PECOS Enrollment IDI20240129004074

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.