Eliseo Cisneros, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CTB-2024-0590 Issued in NM

Practice address

826 Anthony Dr
Anthony, NM 88021-9317

Phone

(575) 201-5135

Fax

(575) 449-4052

NPI assigned

Jun 29, 2022

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Male

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

Enrolled in NM

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

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Clinica de Familia IncorporatedGroup PAC ID 6305745191, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• La Clinica de Familia, Incorporated

  dba La Clinica De Familia Central Medical

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1528424397
  Medicare reassignment Care Compare group NPD
• Integrition, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1013716034
  Medicare reassignment
• La Clinica de Familia, Incorporated

  dba Mayfield High School Base

  • Federally Qualified Health Center (FQHC)
  • Las Cruces, NM
  • NPI 1134917040
  NPD
• La Clinica de Familia, Incorporated

  dba Chaparral School Base

  • Federally Qualified Health Center (FQHC)
  • Chaparral, NM
  • NPI 1962862938
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1366174229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 ANTHONY DR",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219317",
            "telephone_number": "575-201-5135",
            "fax_number": "575-449-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 E Idaho Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880014701",
            "country_code": "US",
            "telephone_number": "575-556-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ELISEO",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2024-0590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Ceniceros
• Cesar Cevallos, RDH
• Silvia Marie Chavez Baray, PSR INSTRUCTOR
• Corinna Cienfuegos
• Dolores M Cisneros
• Joanne B Clark, FNP
• Cheyenne Seana Collins
• Gabriel Eduardo Contreras
• Steven Andrew Cosgrove, DMD
• Counseling and Mediation Services

• Marriage & Family Therapist in Anthony, NM
• Providers in Anthony, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.