Individual provider Active NPI

Ricardo Garcia Cisneros, CADC-R,CRM-II,CGRM

  • Addiction (Substance Use Disorder) Counselor
  • Portland, OR
National Provider Identifier
1023705605
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
T-25-5551 Issued in OR
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

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
T-25-5551ORMDAddiction (Substance Use Disorder) Counselor
N24-CRM-II-0200ORMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteers of America Inc. PastSince Apr 1, 2023 Accepting new patients
Volunteers of America PastSince Apr 1, 2023 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.

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.

Verify at the official NPI Registry.