Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAISA MICHELLE CRUZ SANTIAGO MA
NPI 1710570189
Counselor - Mental Health in Lake Mary, FL

Q: What is Laisa Cruz Santiago's NPI number?

The NPI number for Laisa Cruz Santiago is 1710570189. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Q: What is Laisa Cruz Santiago's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since February 17, 2021PECOS Enrolled

3300 W LAKE MARY BLVD STE 300, LAKE MARY, FL 32746(407) 423-7149(407) 422-0470 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 14, 2026, Feb 17, 2021 (2 updates tracked since 2021).

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About Laisa Michelle Cruz Santiago Ma NPPES

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

LAISA MICHELLE CRUZ SANTIAGO MA (NPI 1710570189) is an individual mental health provider in Lake Mary, Florida, licensed in Florida (MH28186) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clermont.

NPPES Registry Identity

NPI1710570189

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLAISA MICHELLE CRUZ SANTIAGOCredential: MA

Location Address3300 W LAKE MARY BLVD STE 300Lake Mary, FL 32746-3499

Mailing AddressPo Box 844926Dallas, TX 75284-4926 · (407) 423-7149 · Fax (407) 422-0470

Phone(407) 423-7149

Fax(407) 422-0470

Sole ProprietorNo

Enumeration DateFebruary 17, 2021

Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration

NPPES CertifiedAugust 14, 2026

✔ NPI 1710570189 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 FL · MH28186

3300 W LAKE MARY BLVD STE 300, Lake Mary, FL 32746

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Secondary Practice Location 1

Location 11050 US Highway 27Clermont, FL 34714-7520 · Phone (352) 394-0573

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laisa Michelle Cruz Santiago Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laisa Cruz Santiago's NPI number?

The NPI number for Laisa Cruz Santiago is 1710570189. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Laisa Cruz Santiago located?

Laisa Cruz Santiago practices at 3300 W Lake Mary Blvd Ste 300, Lake Mary, FL 32746. The listed phone number is (407) 423-7149.

What is Laisa Cruz Santiago's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Laisa Cruz Santiago enrolled in Medicare?

Yes. Laisa Cruz Santiago is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laisa Cruz Santiago was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.