Psych Cisa LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PSYCH CISA LLC

Practice address

60 N Main St Unit H
Hilton Head Island, SC 29926-6603

Phone

(843) 384-4611

NPI assigned

May 17, 2024

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cibele DO Carmo Santos, PHD, LPC, MDIVNPI 1487409413

Title

Mental Health Counselor

Phone

(843) 384-4611

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cibele DO Carmo Santos, PHD, LPC, MDIV

  • Professional Counselor
  • Hilton Head, SC
  • NPI 1487409413
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1083463228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAIN ST UNIT H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266603",
            "telephone_number": "843-384-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 N MAIN ST UNIT H",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266603",
            "telephone_number": "843-384-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH CISA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "CIBELE",
        "authorized_official_middle_name": "DO CARMO",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "843-384-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, MDIV"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.