Active NPI
Karina Cisneros, MA, LPC
- Professional Counselor
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180014069
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180014069 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alivio Medical Center, Inc. | Current | Accepting new patients | |
| Alivio Medical Center, Inc. | Current | 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.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1083860845
-
- Urgent Care Clinic/Center
- Berwyn, IL
- NPI 1609264001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.