Active NPI
Jesus Pascual Cisneros
- Marriage & Family Therapist
- Arcata, CA
National Provider Identifier
1033843446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 155806
- Practice address
- 791 8TH St Ste N
Arcata, CA 95521-6234 - Phone
- (707) 740-5072
- NPI assigned
- Jul 12, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 155806 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | CA |
Addresses
Primary practice location
791 8TH St Ste N
Arcata, CA 95521-6234
Mailing address
2333 Westwood CT Apt G
Arcata, CA 95521-5171
Phone (773) 573-6091
Other practice location 1
2333 Westwood Ct Apt G
Arcata, CA 95521-5171
Phone (773) 573-6091
Other practice location 2
1802 California St
Eureka, CA 95501-2808
Phone (707) 443-7358
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 |
|---|---|---|---|
| 155806 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1033843446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 WESTWOOD CT APT G",
"city": "ARCATA",
"state": "CA",
"postal_code": "955215171",
"telephone_number": "773-573-6091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 8TH ST STE N",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216234",
"telephone_number": "707-740-5072"
}
],
"practiceLocations": [
{
"address_1": "2333 Westwood Ct Apt G",
"address_purpose": "LOCATION",
"city": "Arcata",
"state": "CA",
"postal_code": "955215171",
"country_code": "US",
"telephone_number": "773-573-6091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1802 California St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012808",
"country_code": "US",
"telephone_number": "707-443-7358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CISNEROS",
"first_name": "JESUS",
"middle_name": "PASCUAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-12",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "155806",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.