Individual provider Active NPI

Karina Cisneros, MA, LPC

  • Professional Counselor
  • Berwyn, IL
National Provider Identifier
1194244236
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014069 Issued in IL
Practice address
6447 Cermak Rd
Berwyn, IL 60402
Phone
(177) 325-4140
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180014069 IL Primary

Addresses

Primary practice location

6447 Cermak Rd
Berwyn, IL 60402

Mailing address

966 W 21St St
Chicago, IL 60608-4511
Phone (773) 254-1400

Other practice location 1

688 N Milwaukee Ave Ste 302
Chicago, IL 60642
Phone (224) 634-5843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226000466 IL Practitioner - Mental Health Counselor 3274014311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7440 Mintwood LN
Spring, TX 77379-1100

966 W 21St St
Chicago, IL 60608-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180014069ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alivio Medical Center, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Alivio Medical Center, Inc. CurrentSince Feb 10, 2026 Accepting new patients

Locations

6447 Cermak Rd
Berwyn, IL 60402
Phone (773) 254-1400

966 W 21st St
Chicago, IL 60608
Phone (773) 254-1400

2355 S Western Ave
Chicago, IL 60608
Phone (773) 254-1400

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1194244236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W 21ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084511",
            "telephone_number": "773-254-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "177-325-4140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 N Milwaukee Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60642",
            "country_code": "US",
            "telephone_number": "224-634-5843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "KARINA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.