Maria Adilene Corona Cisneros

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT152233 Issued in CA

Practice address

2361 Sample Ave
Clovis, CA 93611-5425

Phone

(559) 323-4502

Fax

(559) 325-0689

NPI assigned

May 5, 2015

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 2ND Home Incorporated

  dba 2nd Home Inc.-Sample Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Clovis, CA
  • NPI 1144950080
  NPD
• 2ND Home Incorporated

  dba 2nd Home, Inc.-San Jose Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Clovis, CA
  • NPI 1730716952
  NPD
• 2ND Home Incorporated

  dba 2nd Home, Inc.-Tenaya Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1346877594
  NPD (past)
• Kyjo Enterprises, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1831781343
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1124405527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 SAN JOSE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113078",
            "telephone_number": "559-790-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 SAMPLE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115425",
            "telephone_number": "559-323-4502",
            "fax_number": "559-325-0689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3239 E Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105924",
            "country_code": "US",
            "telephone_number": "559-298-0697",
            "fax_number": "559-298-5134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1797 San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936113078",
            "country_code": "US",
            "telephone_number": "559-298-0699",
            "fax_number": "559-322-7149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3115 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONA CISNEROS",
        "first_name": "MARIA",
        "middle_name": "ADILENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT152233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marius Pablo Manansala Cordero, PHARMACIST
• Shannell M Cornealus
• Sarah Brown Cornelison, FNP-C
• Nikki Sarah Cornell, PT
• Karissa Corner
• Erick Corona
• Shelby Correia Correia
• Angela Cortez
• Bianca Cortez
• Carlota Cortez, NP

• Marriage & Family Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.