Active NPI
Ricardo Garcia Cisneros, CADC-R,CRM-II,CGRM
- Addiction (Substance Use Disorder) Counselor
- Portland, OR
National Provider Identifier
1023705605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- T-25-5551
- Practice address
- 2318 NE Martin Luther King Jr Blvd
Portland, OR 97212-3715 - Phone
- (503) 335-8611
- NPI assigned
- Apr 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | N24-CRM-II-0200 | OR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-25-5551 | OR | Primary |
Addresses
Primary practice location
2318 NE Martin Luther King Jr Blvd
Portland, OR 97212-3715
Mailing address
2318 NE Martin Luther King Jr Blvd
Portland, OR 97212-3715
Phone (971) 427-1544
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 |
|---|---|---|---|
| T-25-5551 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| N24-CRM-II-0200 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Inc. | Past | Accepting new patients | |
| Volunteers of America | Past | Accepting new patients |
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.
-
- Case Management Agency
- Portland, OR
- NPI 1558897710
-
- Contractor
- Portland, OR
- NPI 1376611418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1023705605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123715",
"telephone_number": "971-427-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2318 NE MARTIN LUTHER KING JR BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123715",
"telephone_number": "503-335-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA CISNEROS",
"first_name": "RICARDO",
"credential": "CADC-R,CRM-II,CGRM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "N24-CRM-II-0200",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-25-5551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.