Active NPI
Eddy Hector Cisneros, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1093573735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 85375
- Practice address
- 2021 Guadalupe St Ste 260
Austin, TX 78705-5654 - Phone
- (210) 810-9024
- NPI assigned
- Mar 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 85375 | TX | Primary |
Addresses
Primary practice location
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Mailing address
3230 Hillcrest Dr Apt 2208
San Antonio, TX 78201-7099
Phone (210) 810-9024
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 |
|---|---|---|---|
| 85375 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1093573735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 HILLCREST DR APT 2208",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782017099",
"telephone_number": "210-810-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 GUADALUPE ST STE 260",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787055654",
"telephone_number": "210-810-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "EDDY",
"middle_name": "HECTOR",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "85375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.