Stacey Michelle Cisneros

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

8401 Jackson Rd
Sacramento, CA 95826-3904

Phone

(916) 453-1482

Fax

(916) 453-1425

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Saint John's Program for Real Change

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1467823674
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1316310790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 JACKSON RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263904",
            "telephone_number": "916-453-1482",
            "fax_number": "916-453-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 JACKSON RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263904",
            "telephone_number": "916-453-1482",
            "fax_number": "916-453-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Cisneros
• Jasmin C Cisneros
• Jessica Cisneros
• Karen Cisneros
• Lorena Cisneros
• Tami L Cisneros, RN
• Jennifer Cissney
• City Movers Transportation Inc
• City of Sacramento
• City of Sacramento

• Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.