Cisco Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CISCO COUNSELING LLC

Practice address

1504 S Poplar St
Centralia, IL 62801-5172

Phone

(618) 267-0305

NPI assigned

May 8, 2025

Last updated

May 8, 2025By 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

Mr. Washington Dixon Cisco, MRNPI 1457698912

Title

Ceo

Phone

(618) 267-0305

Specialties & licenses 1

Addresses

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.

• Washington Cisco, LCSW

  • Clinical Social Worker
  • Centralia, IL
  • NPI 1457698912
  NPD Authorized official

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1104616531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 S POPLAR ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628015172",
            "telephone_number": "618-267-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 S POPLAR ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628015172",
            "telephone_number": "618-267-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CISCO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "CISCO",
        "authorized_official_first_name": "WASHINGTON",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-267-0305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centralia School Dist 135
• Kourtney Chalke, COTA/L
• Jessica Lynn Chapman
• Hong Chen, MD
• Nari Cho
• Shelia Tyrell Cisco
• Washington Cisco, LCSW
• Clarkson Optometry Illinois, P.C. (Clarkson Eyecare)
• Stephanie Claybourn
• Vanessa L Cole, D.M.D.

• Mental Health Counselor in Centralia, IL
• Providers in Centralia, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.